| NPI | 1740779164 |
|---|---|
| Doing Business As | MICHELLE M. COLARUSSO, LCSW |
| Entity Type | Organization |
| Authorized Contact | CAROLYN BOWE-MCLEOD Billing Manager 760-433-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27130) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2023-02-17 |