ANTOINETTE MAXINE RUSSELL

JAMAICA, NY
NPI1750726113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  0805301-1)
Enumeration Date2013-04-29
Last Update Date2013-04-29
Business Address
Ms. ANTOINETTE MAXINE RUSSELL LMSW
17545 88TH AVE APT # 4G
JAMAICA, NY 11432-5759
Phone number: 917-587-5550
Mailing Address
Ms. ANTOINETTE MAXINE RUSSELL LMSW
17545 88TH AVE APT # 4G
JAMAICA, NY 11432-5759
Phone number: 917-587-5550