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1184924292
KRISTINA LEA RUSSO
BROCKTON, MA
NPI
1184924292
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Former Name
KRISTINA LEA KLAWITTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MA 5692)
Enumeration Date
2010-10-25
Last Update Date
2016-06-08
Business Address
Ms. KRISTINA LEA RUSSO M.A. L.M.H.C.
10 MEADOWBROOK RD
BROCKTON, MA 02301-7122
Phone number: 508-742-4400
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Mailing Address
Ms. KRISTINA LEA RUSSO M.A. L.M.H.C.
10 MEADOWBROOK RD
BROCKTON, MA 02301-7122
Phone number: 508-742-4400
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