KATHLEEN RUSSO

DEARBORN, MI
NPI1285112227
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801122386)
Enumeration Date2018-08-01
Last Update Date2026-06-23
Business Address
KATHLEEN RUSSO
5111 AUTO CLUB DR STE 112
DEARBORN, MI 48126-2684
Phone number: 248-241-3895
Mailing Address
KATHLEEN RUSSO
5111 AUTO CLUB DR STE 112
DEARBORN, MI 48126-2684
Phone number: 248-241-3895