Individual
MRS. MAUREEN R RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
33 COLUMBIA ST, SWAMPSCOTT, MA 01907-1789
(781) 598-3100
(781) 581-2024
Mailing address
33 COLUMBIA ST, SWAMPSCOTT, MA 01907-1789
(781) 598-3100
(781) 581-2024
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5394
MA
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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