Jessica Marie Russo

NPI #1124683040 in Plainville, Connecticut

Provider Information

NPI Number: 1124683040
Entity Type: Individual
Name: Jessica Marie Russo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: May 6, 2019
Last Updated: May 6, 2019

Practice Location

Address: 24 ELIZABETH CT FL 1B-2
City: Plainville
State: Connecticut
ZIP Code: 06062-2755
Phone: (203) 788-9874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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