Russell, Marie Dawn

Russell, Marie Dawn is an individual health care provider with primary practice located at 74 Bunner St , Oswego NY 13126-3357. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Marie Dawn can be contacted via phone (315) 343-8162.

Contact Information

Primary practice address
74 Bunner St Oswego NY 13126-3357
Phone: (315) 343-8162
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 074588-1 New York

Profile Details

NPI number 1093940140
LBN Legal business name Russell, Marie Dawn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2009
Last updated May 19th, 2009 - about 15 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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