Individual
MR. RUSSELL LEETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4141
(978) 369-1113
(978) 369-0908
Mailing address
32 FULLER ST, CANTON, MA 02021-1925
(978) 369-1113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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