Marc Richard Russak, LCSW
NPI #1003050683 in Los Angeles, California
Provider Information
- NPI Number
- 1003050683
- Entity Type
- Individual
- Name
- Marc Richard Russak, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Apr 27, 2009
- Last Updated
- Apr 27, 2009
Practice Location
- Address
- 1081 WESTWOOD BLVD STE 221
- City
- Los Angeles
- State
- California
- ZIP Code
- 90024-2925
- Phone
- (310) 800-3986
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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