THOMAS J RUSSELL

WORCESTER, MA
NPI1023372695
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-06-28
Last Update Date2012-06-28
Business Address
-- THOMAS J RUSSELL
44 FRONT ST SUITE 490
WORCESTER, MA 01608-1733
Phone number: 508-799-2934
Mailing Address
-- THOMAS J RUSSELL
519 E RIVER ST #18
ORANGE, MA 01364-2106
Phone number: 978-544-1897
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