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1427458579
LYNN RUSSELL
RATHDRUM, ID
NPI
1427458579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW 35159)
Enumeration Date
2014-08-26
Last Update Date
2016-02-18
Business Address
-- LYNN RUSSELL LCSW, ACSW, QP, CS
14954 N COEUR DALENE ST
RATHDRUM, ID 83858-6484
Phone number: 208-687-0538
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Mailing Address
-- LYNN RUSSELL LCSW, ACSW, QP, CS
14954 N COEUR DALENE ST
RATHDRUM, ID 83858-6484
Phone number: 208-687-0538
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