Susan Russell's National Provider Identifier (NPI) Details
Susan Russell, M.A., L.L.P.C.
NPI: 1184045379
Enumeration Date: 2013-12-15
Last updated: 2024-03-21
Sole Proprietor: YES
Status: active
Postal Address: 201 MAPLE ST, EAST JORDAN, MI
Phone: 231-459-5606
Primary Practice Address: 201 MAPLE ST, EAST JORDAN, MI
Practice's phone: 231-459-5606