Michelle S Russo, LCSW

NPI #1194027581 in Ithaca, New York

Provider Information

NPI Number: 1194027581
Entity Type: Individual
Name: Michelle S Russo, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Nov 17, 2010
Last Updated: Jan 24, 2014

Practice Location

Address: 114 N CAYUGA ST
City: Ithaca
State: New York
ZIP Code: 14850-4331
Phone: (607) 233-4687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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