Individual
MR. JOHN MICHAEL RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6315 FORBES AVE STE 125C, PITTSBURGH, PA 15217-1745
(412) 515-5746
Mailing address
111 N PARK ST, MONROEVILLE, PA 15146-4013
(203) 500-0406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016527
PA
Other
Enumeration date
05/25/2007
Last updated
03/25/2025
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