Laura Antonia Russo
NPI #1205344231 in Tulare, California
Provider Information
- NPI Number
- 1205344231
- Entity Type
- Individual
- Name
- Laura Antonia Russo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 11, 2018
- Last Updated
- Apr 16, 2019
Practice Location
- Address
- 327 S K ST
- City
- Tulare
- State
- California
- ZIP Code
- 93274-5416
- Phone
- (559) 688-2043
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
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