MRS. Tanya Russo, LCSW

NPI #1730200767 in Norwich, Connecticut

Provider Information

NPI Number: 1730200767
Entity Type: Individual
Name: MRS. Tanya Russo, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Apr 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 326 WASHINGTON ST
Address 2: WILLIAM W BACKUS HOSPITAL
City: Norwich
State: Connecticut
ZIP Code: 06360
Phone: (860) 889-8331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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