MICHAEL RUSS

MARION, IN
NPI1306376124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34009434A)
Additional Taxonomies104100000X Social Worker
Enumeration Date2017-06-14
Last Update Date2022-07-21
Business Address
MICHAEL RUSS LCSW
101 S WASHINGTON ST
MARION, IN 46952-3867
Phone number: 765-662-9971
Mailing Address
MICHAEL RUSS LCSW
101 S WASHINGTON ST
MARION, IN 46952-3867
Phone number: 765-662-9971