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1093129744
DEBORAH J RUSSO
BOISE, ID
NPI
1093129744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 33842)
Enumeration Date
2014-06-19
Last Update Date
2023-06-12
Business Address
DEBORAH J RUSSO LCSW
814 N 8TH ST
BOISE, ID 83702-5521
Phone number: 208-242-2701
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Mailing Address
DEBORAH J RUSSO LCSW
55 EVERGREEN DR
BOISE, ID 83716-3395
Phone number: 208-794-9367
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