THOMAS RUSSO

MINOT, ND
NPI1700022100
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  14076)
Enumeration Date2009-01-06
Last Update Date2009-01-06
Business Address
-- THOMAS RUSSO MSW
10 MISSILE AVE
MINOT, ND 58705-5003
Phone number: 701-727-9800
Mailing Address
-- THOMAS RUSSO MSW
10 MISSILE AVE
MINOT, ND 58705-5003
Phone number: