KELLIE MARIE RUSSO

STATEN ISLAND, NY
NPI1548825151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  29679)
Enumeration Date2019-05-08
Last Update Date2019-05-08
Business Address
KELLIE MARIE RUSSO CASAC-2
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-412-3156
Mailing Address
KELLIE MARIE RUSSO CASAC-2
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-412-3156
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