DEBORAH J RUSSO

BOISE, ID
NPI1093129744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  33842)
Enumeration Date2014-06-19
Last Update Date2023-06-12
Business Address
DEBORAH J RUSSO LCSW
814 N 8TH ST
BOISE, ID 83702-5521
Phone number: 208-242-2701
Mailing Address
DEBORAH J RUSSO LCSW
55 EVERGREEN DR
BOISE, ID 83716-3395
Phone number: 208-794-9367