ELLEN RUSSIN J RUSSIN

PALO ALTO, CA
NPI1891821963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS6935)
Enumeration Date2007-02-25
Last Update Date2007-07-08
Business Address
-- ELLEN RUSSIN J RUSSIN LCSW
667 LYTTON AVE
PALO ALTO, CA 94301-1335
Phone number: 650-566-0061
Mailing Address
-- ELLEN RUSSIN J RUSSIN LCSW
667 LYTTON AVE
PALO ALTO, CA 94301-1335
Phone number: 650-566-0061
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