Search › Massachusetts › 1041C0700X
Kristin Russo, LICSW
NPI 1750737573 · on the registry since 2016
Practice
- Address
- 9 Taunton Grn Unit 5
Taunton, MA 02780 - Phone
- (716) 720-7051
Additional practice sites
- 1333 Iris Ave, Boulder, CO
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
101YA0400X
390200000X - Licence states on file
- NY, NULL, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts