RUSSELL ANDERSON

IDAHO FALLS, ID
NPI1972965937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW-30045)
Enumeration Date2016-03-28
Last Update Date2016-03-28
Business Address
Mr. RUSSELL ANDERSON LSW
150 SHOUP AVE
IDAHO FALLS, ID 83402-3657
Phone number: 208-522-5700
Mailing Address
Mr. RUSSELL ANDERSON LSW
150 SHOUP AVE
IDAHO FALLS, ID 83402-3657
Phone number:
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