LAURA ANTONIA RUSSO

TULARE, CA
NPI1205344231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  85446)
Additional Taxonomies101YP2500X Counselor, Professional
1041C0700X Social Worker, Clinical
(Licence: CA  113905)
Enumeration Date2018-01-11
Last Update Date2026-07-17
Business Address
LAURA ANTONIA RUSSO
327 S K ST
TULARE, CA 93274-5416
Phone number: 559-688-2043
Mailing Address
LAURA ANTONIA RUSSO
6641 W ORIOLE AVE
VISALIA, CA 93291-8346
Phone number: 301-247-4198