Individual
MR. VET RUDEAN WOOLF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402-2902
(208) 524-7400
(208) 524-8004
Mailing address
2657 BALBOA DR, IDAHO FALLS, ID 83404-7408
(208) 497-1528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-44171
ID
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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