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1760945463
JUSTIN RUSSOTTI
ROCHESTER, NY
NPI
1760945463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 087393)
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
Dr. JUSTIN RUSSOTTI PhD, LCSW
95 ALLENS CREEK RD
ROCHESTER, NY 14618-3250
Phone number: 585-281-4441
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Mailing Address
Dr. JUSTIN RUSSOTTI PhD, LCSW
303 TROY RD
ROCHESTER, NY 14618-2943
Phone number: 585-281-4441
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