Lea Russo

NPI #1083916902 in Chelsea, Massachusetts

Provider Information

NPI Number: 1083916902
Entity Type: Individual
Name: Lea Russo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 29, 2010
Last Updated: Nov 29, 2010

Practice Location

Address: 301 BROADWAY
City: Chelsea
State: Massachusetts
ZIP Code: 02150-2807
Phone: (617) 912-7912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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