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Individual

MS. CHRISTINA RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
77 FINLAY RD, ORLEANS, MA 02653-3320
(781) 589-0143
Mailing address
213 HINCKLY RD, HYANNIS, MA 02601
(781) 589-0143

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
117199
MA

Other

Enumeration date
10/30/2012
Last updated
10/30/2012
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