JOAN CAROL RUSSO

OCONOMOWOC, WI
NPI1225037575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: WI  1169)
Enumeration Date2005-07-19
Last Update Date2014-07-07
Business Address
JOAN CAROL RUSSO PH.D.
W340N6509 BREEZY POINT RD
OCONOMOWOC, WI 53066-5132
Phone number: 262-490-9114
Mailing Address
JOAN CAROL RUSSO PH.D.
W340N6509 BREEZY POINT RD
OCONOMOWOC, WI 53066-5132
Phone number: 262-490-9114
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