ANDRES RUSSO

LAWRENCE, MA
NPI1710353370
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-08-18
Last Update Date2015-08-18
Business Address
-- ANDRES RUSSO
12 SCHOOL ST
LAWRENCE, MA 01841-5042
Phone number: 978-382-0522
Mailing Address
-- ANDRES RUSSO
12 SCHOOL ST
LAWRENCE, MA 01841-5042
Phone number: 978-382-0522
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