James Michael Russo
James Michael Russo is a Clinical Social Worker in Reisterstown, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2018
Practice location Address checks out
12039 Reisterstown RdReisterstown, MD 21136-3042
Phone: (443) 881-2024
Fax: (410) 833-4102
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 05620 (MD) |
|---|
Record details
| NPI number | 1477022333 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 20, 2018 |
| Last updated in NPPES | November 20, 2018 |
| Mailing address | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 |
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