JAMES MICHAEL RUSSO

REISTERSTOWN, MD
NPI1477022333
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  05620)
Enumeration Date2018-11-20
Last Update Date2018-11-20
Business Address
JAMES MICHAEL RUSSO
12039 REISTERSTOWN RD
REISTERSTOWN, MD 21136-3042
Phone number: 443-881-2024
Mailing Address
JAMES MICHAEL RUSSO
12039 REISTERSTOWN RD
REISTERSTOWN, MD 21136-3042
Phone number: 443-881-2024