Individual
RUSSELL JAMES DAWSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2240 STATE ROUTE 33 STE 111, NEPTUNE, NJ 07753-6121
(732) 977-2255
Mailing address
2240 STATE ROUTE 33, NEPTUNE, NJ 07753-6104
(732) 977-2255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06992800
NJ
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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