Mary Russo
Mary Russo is a Counselor in Marlton, New Jersey. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
925 Route 73 N Ste HMarlton, NJ 08053-1277
Phone: (609) 713-8763
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1639818388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 1, 2022 |
| Last updated in NPPES | June 1, 2022 |
| Certification date | June 1, 2022 |
| Mailing address | 925 Route 73 N Ste H, Marlton, NJ 08053-1277 |
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