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1194027581
MICHELLE S RUSSO
ITHACA, NY
NPI
1194027581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 080489-1)
Enumeration Date
2010-11-17
Last Update Date
2014-01-24
Business Address
-- MICHELLE S RUSSO LCSW
114 N CAYUGA ST
ITHACA, NY 14850-4331
Phone number: 607-233-4687
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Mailing Address
-- MICHELLE S RUSSO LCSW
114 N CAYUGA ST
ITHACA, NY 14850-4331
Phone number: 607-233-4687
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