Russman, Brian
Russman, Brian is an sole proprietor health care provider with primary practice located at 1404 Independence Ln , Mount Dora FL 32757-6102. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Russman, Brian can be contacted via phone (772) 577-1883.Contact Information
Primary practice address
1404 Independence Ln
Mount Dora FL 32757-6102
Phone: (772) 577-1883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW12366 | Florida |
Profile Details
| NPI number | 1710641634 |
|---|---|
| LBN Legal business name | Russman, Brian |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2021 |
| Last updated | Oct 27th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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