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1902572688
ROBERTA RUSSO
MARIETTA, GA
NPI
1902572688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW008127)
Enumeration Date
2021-08-21
Last Update Date
2022-07-01
Business Address
Mrs. ROBERTA RUSSO CSW008127
3911 MARY ELIZA TRCE NW STE 200
MARIETTA, GA 30064-1088
Phone number: 678-631-9907
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Mailing Address
Mrs. ROBERTA RUSSO CSW008127
742 FIRST COTTON DR
POWDER SPRINGS, GA 30127-6237
Phone number: 404-396-4761
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