RUSSELL R FAST

DICKINSON, ND
NPI1578593026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ND  2212)
Enumeration Date2006-07-03
Last Update Date2020-02-13
Business Address
Mr. RUSSELL R FAST LICSW
1679 6TH AVE W
DICKINSON, ND 58601-2904
Phone number: 701-483-1000
Mailing Address
Mr. RUSSELL R FAST LICSW
1679 6TH AVE W
DICKINSON, ND 58601-2904
Phone number: 701-483-1000