RUSSELL ANTHONY BAPTIST

NEW YORK, NY
NPI1215410246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  071815)
Enumeration Date2018-09-14
Last Update Date2018-09-14
Business Address
RUSSELL ANTHONY BAPTIST LCSW
41 SAINT NICHOLAS TER APT 48
NEW YORK, NY 10027-2738
Phone number: 917-417-3762
Mailing Address
RUSSELL ANTHONY BAPTIST LCSW
41 SAINT NICHOLAS TER APT 48
NEW YORK, NY 10027-2738
Phone number: 917-417-3762
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