MARY M RUSSO

HOUMA, LA
NPI1982970935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2012-03-23
Last Update Date2024-08-12
Business Address
MARY M RUSSO
420 MAGNOLIA ST
HOUMA, LA 70360-6304
Phone number: 985-879-3966
Mailing Address
MARY M RUSSO
PO BOX 165
HOUMA, LA 70361-0165
Phone number: 985-879-3966