Individual
DAWN E RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8702
Mailing address
1081 LAKELAND AVE, LAKEWOOD, OH 44107-1227
(216) 406-7295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0500648
OH
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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