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1992342398
SARAH LYNN RUSSELL
IDAHO FALLS, ID
NPI
1992342398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW38260)
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
SARAH LYNN RUSSELL BSW, LMSW
550 W SUNNYSIDE RD STE 1
IDAHO FALLS, ID 83402-4642
Phone number: 208-529-5777
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Mailing Address
SARAH LYNN RUSSELL BSW, LMSW
4383 W 49TH S
IDAHO FALLS, ID 83402-5726
Phone number: 208-520-6823
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