Individual
HANNAH RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3054 N AVERS AVE APT 1, CHICAGO, IL 60618-8972
(847) 917-5835
Mailing address
3054 N AVERS AVE APT 1, CHICAGO, IL 60618-8972
(847) 917-5835
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2492455
IL
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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