Individual
MARGO RUSSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 BETHLEHEM CT, DELMAR, NY 12054-1306
(518) 478-0722
Mailing address
13 BROOKVIEW AVE, DELMAR, NY 12054-3618
(518) 210-2034
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
$$$$$$$$$
NY
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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