LISA FAST

BEMIDJI, MN
NPI1598537409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-10-24
Last Update Date2025-01-06
Business Address
LISA FAST
1705 ANNE ST NW # DOOR3
BEMIDJI, MN 56601-6151
Phone number: 218-334-8473
Mailing Address
LISA FAST
1705 ANNE ST NW # DOOR3
BEMIDJI, MN 56601-6151
Phone number: 218-334-8473
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