DEREK RUSS

LANSING, MI
NPI1316231715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801093136)
Enumeration Date2011-06-02
Last Update Date2011-06-02
Business Address
Mr. DEREK RUSS LMSW
3960 PATIENT CARE WAY STE 104
LANSING, MI 48911-4275
Phone number: 517-887-9801
Mailing Address
Mr. DEREK RUSS LMSW
3960 PATIENT CARE WAY STE 104
LANSING, MI 48911-4275
Phone number: 517-887-9801
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