Individual
AZURE JULIETTE REID-RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1 BOWDOIN SQ FL 6, BOSTON, MA 02114-2927
(631) 965-9897
Mailing address
515 CABOT MAIL CTR, CAMBRIDGE, MA 02138-7538
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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