Organization
GENA RUSSO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENA HOPE RUSSO LCSW (LICSENSED CLINICAL SOCIAL WORKER)
(860) 874-7149
Entity
Organization
Contact information
Practice address
2984 S WABASH ST, DENVER, CO 80231-4223
(860) 874-7149
Mailing address
2984 S WABASH ST, DENVER, CO 80231-4223
(860) 874-7149
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1957
CO
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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