Individual
MRS. INGRID ANGELA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2137 OFFICE PARK DR, SUITE F, SAN ANGELO, TX 76904-6893
(325) 944-3330
(325) 617-2497
Mailing address
1705 WESTON RD, SAN ANGELO, TX 76901-5333
(325) 224-0534
(325) 617-2497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50242
TX
Other
Enumeration date
11/11/2007
Last updated
04/26/2009
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