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1144310434
GILBERT RUSSO
HARTFORD, CT
NPI
1144310434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 001728)
Enumeration Date
2006-10-15
Last Update Date
2007-07-08
Business Address
-- GILBERT RUSSO LCSW
674 PROSPECT AVE
HARTFORD, CT 06105-4288
Phone number: 860-233-6228
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Mailing Address
-- GILBERT RUSSO LCSW
674 PROSPECT AVE
HARTFORD, CT 06105-4288
Phone number: 860-233-6228
Copy
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