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Individual

CHLOE ANN RUSSELL-EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1301 MAIN ST STE 3B, SALMON, ID 83467-4452
(208) 756-2927
(208) 756-1518
Mailing address
1301 MAIN ST STE 3B, SALMON, ID 83467-4452
(208) 756-2927
(208) 756-1518

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9071564
ID

Other

Enumeration date
06/03/2025
Last updated
06/03/2025
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