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1285112227
KATHLEEN RUSSO
DETROIT, MI
NPI
1285112227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-08-01
Last Update Date
2022-09-26
Business Address
KATHLEEN RUSSO
17321 TELEGRAPH RD
DETROIT, MI 48219-3132
Phone number: 313-255-0900
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Mailing Address
KATHLEEN RUSSO
17321 TELEGRAPH RD
DETROIT, MI 48219-3132
Phone number: 313-255-0900
Copy
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