Individual
MS. BREE NICOLE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
550 S ADAMS ST, BLOOMINGTON, IN 47403-2165
(812) 333-6324
(812) 331-6700
Mailing address
550 S ADAMS ST, BLOOMINGTON, IN 47403-2165
(812) 333-6324
(812) 331-6700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005083A
IN
Other
Enumeration date
07/20/2006
Last updated
03/20/2015
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