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Individual

EMILY J RUSSELL-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
7941 W RIFLEMAN ST, BOISE, ID 83704-9001
(208) 895-7950
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-40824
ID

Other

Enumeration date
06/07/2021
Last updated
08/02/2023
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