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1497893127
MICHAEL RUSSO
PLAINVILLE, CT
NPI
1497893127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CT 002011)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL RUSSO
91 NORTHWEST DR
PLAINVILLE, CT 06062-1534
Phone number: 860-793-3552
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Mailing Address
Dr. MICHAEL RUSSO
91 NORTHWEST DR
PLAINVILLE, CT 06062-1534
Phone number:
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