Individual
MISS PATRICIA J RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 TANNER ST STE 120, HADDONFIELD, NJ 08033-2494
(856) 628-5550
Mailing address
514 5TH AVE, BARRINGTON, NJ 08007-1036
(856) 628-5550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00395800
NJ
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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