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1760703961
SARA JUDITH RUSSO
CRANSTON, RI
NPI
1760703961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: RI SP01048)
Enumeration Date
2010-06-22
Last Update Date
2010-06-22
Business Address
SARA JUDITH RUSSO M.S., CCC-SLP
78 WARREN AVE
CRANSTON, RI 02920-1516
Phone number: 401-954-0222
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Mailing Address
SARA JUDITH RUSSO M.S., CCC-SLP
78 WARREN AVE
CRANSTON, RI 02920-1516
Phone number: 401-954-0222
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