MS. Sherry Rae Russo

NPI #1053056952 in Antlers, Oklahoma

Provider Information

NPI Number: 1053056952
Entity Type: Individual
Name: MS. Sherry Rae Russo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: May 4, 2022
Last Updated: Apr 15, 2024

Practice Location

Address: 107 S HIGH ST
City: Antlers
State: Oklahoma
ZIP Code: 74523-3818
Phone: (580) 298-2830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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