LISA RUSSOM, LSW

LSW

Social Worker

NPI: 1003106691Individual

Specialties, Licenses & Credentials

Social WorkerPrimary

Social Worker

Code: 104100000X

LSW-2573(ID)

Contact & Hours

Address: 1740 E 17TH ST
IDAHO FALLS, ID 83404
Phone: (208) 313-8355

Quick Facts

NPI: 1003106691
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile