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Individual

MS. ANNE K. RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAAT

Contact information

Practice address
34 MURRAY ST, WATERBURY, CT 06710
(203) 756-8317
(203) 756-8310
Mailing address
34 MURRAY ST, WATERBURY, CT 06710
(203) 756-8317
(203) 756-8310

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary

Other

Enumeration date
07/17/2009
Last updated
07/17/2009
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