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1326113143
TARA RUSSOW
ROCHESTER, NY
NPI
1326113143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 012305)
Enumeration Date
2006-11-21
Last Update Date
2010-10-31
Business Address
-- TARA RUSSOW PhD
120 ALLENS CREEK RD
ROCHESTER, NY 14618-3306
Phone number: 585-442-4447
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Mailing Address
-- TARA RUSSOW PhD
120 ALLENS CREEK RD
ROCHESTER, NY 14618-3306
Phone number: 585-442-4447
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