LEAH AV RUSSACK-BAKER

OLD SAYBROOK, CT
NPI1073822789
Professional NameLEAH AV RUSSACK-BAKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  03-973340)
Enumeration Date2010-09-29
Last Update Date2010-09-29
Business Address
-- LEAH AV RUSSACK-BAKER LADC
123 ELM ST
OLD SAYBROOK, CT 06475
Phone number: 860-395-1264
Mailing Address
-- LEAH AV RUSSACK-BAKER LADC
123 ELM ST
OLD SAYBROOK, CT 06475-4108
Phone number: 860-395-1264