METKEL B RUSSOM

RESTON, VA
NPI1861292849
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2025-03-18
Last Update Date2026-07-28
Business Address
METKEL B RUSSOM MSW
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191-3460
Phone number: 571-977-6870
Mailing Address
METKEL B RUSSOM MSW
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191-3460
Phone number: 571-977-6870
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