Individual
JESSICA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 SHERMAN CT, HOOD RIVER, OR 97031-1054
(541) 386-2620
(541) 386-9540
Mailing address
425 SHERMAN CT, HOOD RIVER, OR 97031-1054
(541) 386-2620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
01/05/2016
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