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1306376124
MICHAEL RUSS
MARION, IN
NPI
1306376124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34009434A)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2017-06-14
Last Update Date
2022-07-21
Business Address
MICHAEL RUSS LCSW
101 S WASHINGTON ST
MARION, IN 46952-3867
Phone number: 765-662-9971
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Mailing Address
MICHAEL RUSS LCSW
101 S WASHINGTON ST
MARION, IN 46952-3867
Phone number: 765-662-9971
Copy
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