MARK RUSSELL

PUNXSUTAWNEY, PA
NPI1144752221
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  CW018496)
Enumeration Date2017-03-29
Last Update Date2017-03-29
Business Address
-- MARK RUSSELL LCSW
475 SYKESVILLE TROUTVILLE RD
PUNXSUTAWNEY, PA 15767-4367
Phone number: 814-591-1997
Mailing Address
-- MARK RUSSELL LCSW
475 SYKESVILLE TROUTVILLE RD
PUNXSUTAWNEY, PA 15767-4367
Phone number: 814-591-1997
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