Michelle Russo, Lcsw

NPI #1801368808 in Ithaca, New York

Provider Information

NPI Number
1801368808
Entity Type
Organization
Organization Name
Michelle Russo, Lcsw
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jan 2, 2019
Last Updated
Jan 2, 2019

Practice Location

Address
108 N CAYUGA ST
City
Ithaca
ZIP Code
14850-4346
Phone
(607) 760-4300

Authorized Official

Name
MICHELLE RUSSO
Title
LICENSED CLINICAL SOCIAL WORKER
Phone
(607) 760-4300

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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