Individual
CLAIRE RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 PITT RD, SCOTT, LA 70583-4608
(337) 806-4655
Mailing address
606 SAN JACINTO CIR, NEW IBERIA, LA 70563-1126
(337) 256-6232
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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