Individual
CYNTHIA E RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 703-0685
(315) 468-6194
Mailing address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 703-0685
(315) 468-6194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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