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Heather Russo NPI 1003192782

Classification
Counselor
Type
Professional
Specialization
Professional
License No.
E.0601072-SUPV
License State
OH
Certified
Location

Additional Identifiers

Medical School
No
Graduation Year
0
Identifier
Type
State
Identifier: 1473276
Type: MEDICAID (05)
State: OH

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
444 BUTTERFLY GARDENS DR, COLUMBUS, OH, 432153427
Business Phone
614-355-8895
Mailing Address
DEPT 781625, DETROIT, MI, 482781625
Mailing Phone
614-355-8004
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