HAILEY VIRUSSO

SOUTH PORTLAND, ME
NPI1821540451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  MC16146)
Enumeration Date2016-10-31
Last Update Date2016-10-31
Business Address
-- HAILEY VIRUSSO LMSW-CC
50 LYDIA LN
SOUTH PORTLAND, ME 04106-2156
Phone number: 207-409-0173
Mailing Address
-- HAILEY VIRUSSO LMSW-CC
50 LYDIA LN
SOUTH PORTLAND, ME 04106-2156
Phone number: 207-409-0173
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