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Tanya Russo, LCSW

Social Worker in Norwich, CT. Individual provider (NPI-1).

NPI number1730200767
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1730200767
Entity type
Individual (NPI-1)
Name
Mrs. Tanya Russo
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker006058CTYes

Practice location

326 Washington St
William W Backus Hospital
Norwich, CT 06360

Phone 860-889-8331 · Fax 860-892-6983

Mailing address

326 Washington St
William W Backus Hospital
Norwich, CT 06360

Phone 860-889-8331 · Fax 860-892-6983

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