SUSAN K RUSSO

EL PRADO, NM
NPI1538292982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: NM  0088901)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
MS. SUSAN K RUSSO L.P.C.C.
36 STATE RD. 522 #6
EL PRADO, NM 87529
Phone number: 505-737-9151
Mailing Address
MS. SUSAN K RUSSO L.P.C.C.
HC 74 BOX 22615
EL PRADO, NM 87529-9526
Phone number: 505-776-3826