JACLYN RUSSO

CHARLOTTE, NC
NPI1962280024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC2200X Psychologist Clinical Child & Adolescent
(Licence: NC  6402)
Enumeration Date2023-09-20
Last Update Date2023-09-20
Business Address
DR. JACLYN RUSSO PHD
4722 PARK RD STE B
CHARLOTTE, NC 28209-3802
Phone number: 704-665-7424
Mailing Address
DR. JACLYN RUSSO PHD
4722 PARK RD STE B
CHARLOTTE, NC 28209-3802
Phone number: 704-665-7424
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