Individual
CONNIE FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CAC-II, CSW
Contact information
Practice address
206 W COURT ST, SUITE 104, HASTINGS, MI 49058-1874
(269) 945-1387
Mailing address
206 W COURT ST, SUITE 104, HASTINGS, MI 49058-1874
(269) 945-1387
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
200351
MI
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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