CHRISTOPHER J RUSSO

PROVIDENCE, RI
NPI1235412107
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  CSW01400)
Enumeration Date2011-09-27
Last Update Date2013-10-10
Business Address
Mr. CHRISTOPHER J RUSSO LICSW
49 PAVILION AVE SUITE 105
PROVIDENCE, RI 02905-1534
Phone number: 401-490-8900
Mailing Address
Mr. CHRISTOPHER J RUSSO LICSW
49 PAVILION AVE SUITE 105
PROVIDENCE, RI 02905-1534
Phone number: 401-490-8900