Individual
RUSSELL P CONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
121 NORTH ST, RAPID CITY, SD 57701-1163
(605) 391-4863
(605) 791-0434
Mailing address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1396
SD
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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