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1487748190
LISA MARIE RUSSO
DETROIT, MI
NPI
1487748190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801081917)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- LISA MARIE RUSSO LMSW
4777 E OUTER DRIVE
DETROIT, MI 48234
Phone number: 313-369-5000
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Mailing Address
-- LISA MARIE RUSSO LMSW
28000 DEQUINDRE RD
WARREN, MI 48092
Phone number: 586-753-0405
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