Russo, Marie Josephine

Russo, Marie Josephine is an sole proprietor health care provider with primary practice located at 246 Edison & Valley Road , Clifton NJ 07013. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russo, Marie Josephine can be contacted via phone (973) 572-6507.

Contact Information

Primary practice address
246 Edison & Valley Road Clifton NJ 07013
Phone: (973) 572-6507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04757300 New Jersey

Profile Details

NPI number 1922346014
LBN Legal business name Russo, Marie Josephine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2013
Last updated Sep 8th, 2014 - about 12 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.

Request for update

Popular Providers