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1184188484
COURTNEY RUSSO
CORAM, NY
NPI
1184188484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY P14744)
Enumeration Date
2019-01-31
Last Update Date
2023-05-18
Business Address
COURTNEY RUSSO LCSW
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8675
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Mailing Address
COURTNEY RUSSO LCSW
234 LONG ISLAND AVE
WYANDANCH, NY 11798-3015
Phone number: 631-920-8250
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