Individual
MORGAN RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 ASCENSION ST FL 2, PASSAIC, NJ 07055-4636
(917) 923-9279
Mailing address
25 ASCENSION ST FL 2, PASSAIC, NJ 07055-4636
(917) 923-9279
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LGM969
MD
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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