Individual
CHRISTINA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CSW-INTERN
Contact information
Practice address
801 S RANCHO DR STE E3A, LAS VEGAS, NV 89106-3812
(702) 620-9354
Mailing address
801 S RANCHO DR STE E3A, LAS VEGAS, NV 89106-3812
(702) 620-9354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11518-M
NV
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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