M. KATHLEEN RUSSO

TILTON, NH
NPI1821428616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NH  0445)
Enumeration Date2013-11-15
Last Update Date2015-07-21
Business Address
-- M. KATHLEEN RUSSO LADC
322 W MAIN ST STE 101 RIVERFRONT PLACE
TILTON, NH 03276-5048
Phone number: 603-860-1319
Mailing Address
-- M. KATHLEEN RUSSO LADC
322 W MAIN ST STE 101
TILTON, NH 03276-5048
Phone number: 603-860-1319
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