Russell Lynn Vollmer, LCSW

NPI #1962813253 in Malad City, Idaho

Provider Information

NPI Number: 1962813253
Entity Type: Individual
Name: Russell Lynn Vollmer, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: May 8, 2014
Last Updated: Mar 6, 2023

Practice Location

Address: 215 E 50 S STE 5
City: Malad City
State: Idaho
ZIP Code: 83252-2300
Phone: (208) 766-2365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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