Theeany T.f. Russ, B.A.
NPI #1013084797 in Red Bank, New Jersey
Provider Information
- NPI Number
- 1013084797
- Entity Type
- Individual
- Name
- Theeany T.f. Russ, B.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- B.A.
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 145 MAPLE AVE
- City
- Red Bank
- State
- New Jersey
- ZIP Code
- 07701-1717
- Phone
- (732) 747-9660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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