BRIAN RUSSMAN

MOUNT DORA, FL
NPI1710641634
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW12366)
Enumeration Date2021-10-27
Last Update Date2021-10-27
Business Address
BRIAN RUSSMAN LCSW
1404 INDEPENDENCE LN
MOUNT DORA, FL 32757-6102
Phone number: 772-577-1883
Mailing Address
BRIAN RUSSMAN LCSW
1404 INDEPENDENCE LN
MOUNT DORA, FL 32757-6102
Phone number: 772-577-1883
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