LISA MARIE RUSSO

DETROIT, MI
NPI1487748190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MI  6801081917)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- LISA MARIE RUSSO LMSW
4777 E OUTER DRIVE
DETROIT, MI 48234
Phone number: 313-369-5000
Mailing Address
-- LISA MARIE RUSSO LMSW
28000 DEQUINDRE RD
WARREN, MI 48092
Phone number: 586-753-0405