DIANE GAIL RUSSELL

ROSEVILLE, MI
NPI1245380781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801066657)
Enumeration Date2007-01-10
Last Update Date2007-07-08
Business Address
Ms. DIANE GAIL RUSSELL M.S.W.
25869 KELLY RD SUITE A
ROSEVILLE, MI 48066-4997
Phone number: 586-773-6020
Mailing Address
Ms. DIANE GAIL RUSSELL M.S.W.
25869 KELLY RD SUITE A
ROSEVILLE, MI 48066-4997
Phone number: 586-773-6020