Individual
CHRISTOPHER RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 3RD AVE, SEATTLE, WA 98101-1126
(206) 309-5990
Mailing address
1904 3RD AVE, SEATTLE, WA 98101-1126
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW61088963
WA
1041C0700X
Clinical Social Worker
Primary
LW61088963
WA
Other
Enumeration date
10/16/2018
Last updated
06/07/2021
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