Individual
MARY ANN RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5303 CONCORD CT, MOUNT AIRY, MD 21771-5814
(301) 829-9366
(301) 829-9366
Mailing address
5303 CONCORD CT, MOUNT AIRY, MD 21771-5814
(301) 829-9366
(301) 829-9366
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2316
MD
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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