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RUSSELL VOLLMER, LCSW

LCSW

Social Worker

NPI: 1962813253IndividualAccepts Medicare

Specialties, Licenses & Credentials

Clinical Social Worker

Social Worker — Clinical

Code: 1041C0700X

286822-3501(UT)LCSW-36911(ID)LSW-28623(ID)
Social WorkerPrimary

Social Worker

Code: 104100000X

286822-3501(UT)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 2014

Contact & Hours

Address
215 E 50 S STE 5
MALAD CITY, ID 83252

Quick Facts

NPI
1962813253
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
4
Locations
1
Years in Practice
12

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