KATHERINE TERESA RUSSO

LAKEWOOD, NJ
NPI1578820254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC05362100)
Enumeration Date2012-04-18
Last Update Date2012-04-18
Business Address
-- KATHERINE TERESA RUSSO LCSW
1060 WALDORF TER
LAKEWOOD, NJ 08701-5546
Phone number: 800-275-3243
Mailing Address
-- KATHERINE TERESA RUSSO LCSW
1060 WALDORF TER
LAKEWOOD, NJ 08701-5546
Phone number: 800-275-3243
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