Individual
ABBIE VEE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC # 6196
Contact information
Practice address
340 MAPLE ST, 4TH FLOOR, MARLBOROUGH, MA 01752-3200
(508) 485-9300
Mailing address
79 HADWEN RD, WORCESTER, MA 01602-2942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6196
MA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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