ANDREA RUSSUM

CLARKSVILLE, TN
NPI1730627209
Former NameANDREA KEEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2017-02-06
Last Update Date2017-02-06
Business Address
MRS. ANDREA RUSSUM M.S.
1820 MEMORIAL CIR
CLARKSVILLE, TN 37043-4539
Phone number: 931-436-2126
Mailing Address
MRS. ANDREA RUSSUM M.S.
417 RIVERMONT DR
CLARKSVILLE, TN 37043-5930
Phone number: 931-249-4723