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Individual

RUTH NIELSON ADAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW-380

Contact information

Practice address
210 W BURNSIDE AVE STE A, CHUBBUCK, ID 83202-4916
(208) 238-9000
(208) 238-9002
Mailing address
210 W BURNSIDE AVE STE A, CHUBBUCK, ID 83202-4916
(208) 238-9000
(208) 238-9002

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ID

Other

Enumeration date
11/07/2018
Last updated
11/07/2018
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