BRETT RUSSMAN

PORTLAND, ME
NPI1346378197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  CC3179)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
-- BRETT RUSSMAN LCSW
343 FOREST AVE
PORTLAND, ME 04101-2006
Phone number: 207-874-1030
Mailing Address
-- BRETT RUSSMAN LCSW
343 FOREST AVE
PORTLAND, ME 04101-2006
Phone number: 207-874-1030
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