JOHN RUSSUM

DOVER, DE
NPI1407961022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: DE  Q10000855)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
-- JOHN RUSSUM LCSW
725 HORSEPOND RD
DOVER, DE 19901-7232
Phone number: 302-744-7688
Mailing Address
-- JOHN RUSSUM LCSW
725 HORSEPOND RD
DOVER, DE 19901-7232
Phone number: 302-744-7688
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