MR. Vet Rudean Woolf JR., LMSW

NPI #1992585269 in Idaho Falls, Idaho

Provider Information

NPI Number: 1992585269
Entity Type: Individual
Name: MR. Vet Rudean Woolf JR., LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 3, 2023
Last Updated: Oct 3, 2023

Practice Location

Address: 2275 W BROADWAY ST STE G
City: Idaho Falls
State: Idaho
ZIP Code: 83402-2902
Phone: (208) 524-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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