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1255711396
MICHAEL RUSSELL
WHITE PLAINS, NY
NPI
1255711396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2015-06-03
Last Update Date
2020-12-31
Business Address
MICHAEL RUSSELL LCSW
75 S BROADWAY STE 400
WHITE PLAINS, NY 10601-4413
Phone number: 914-342-7020
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Mailing Address
MICHAEL RUSSELL LCSW
75 S BROADWAY STE 400
WHITE PLAINS, NY 10601-4413
Phone number: 914-342-7020
Copy
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