Individual
BARBARA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3895 COUNTY ROAD 516 STE 2B, OLD BRIDGE, NJ 08857-2499
(732) 679-4500
(732) 679-4549
Mailing address
3895 COUNTY ROAD 516 STE 2B, OLD BRIDGE, NJ 08857-2499
(732) 679-4500
(732) 679-4549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04768400
NJ
Other
Enumeration date
01/04/2007
Last updated
05/16/2008
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