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1144880279
ALISON BRIDGES RUSSO
WINSTON SALEM, NC
NPI
1144880279
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Former Name
ALISON BRIDGES PHLEGAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C008996)
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
ALISON BRIDGES RUSSO LCSW
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103-6951
Phone number: 336-718-3550
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Mailing Address
ALISON BRIDGES RUSSO LCSW
6180 PROVIDENCE CHURCH RD
WINSTON SALEM, NC 27105-8723
Phone number: 336-757-2501
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