MARK RUSSELL

NEW HARTFORD, NY
NPI1205669868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2024-08-20
Last Update Date2024-08-20
Business Address
MARK RUSSELL LCSW
69 OAKDALE AVE S
NEW HARTFORD, NY 13413-1325
Phone number: 314-335-6066
Mailing Address
MARK RUSSELL LCSW
69 OAKDALE AVE S
NEW HARTFORD, NY 13413-1325
Phone number: