Individual
ELIZABETH MICHELE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BLACKBURN CTR, GLOUCESTER, MA 01930-2268
(978) 283-7198
Mailing address
3 BLACKBURN CTR, GLOUCESTER, MA 01930-2268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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