Amanda Rae Radtke, MSW, LICSW

NPI #1679938724 in Cloquet, Minnesota

Provider Information

NPI Number
1679938724
Entity Type
Individual
Name
Amanda Rae Radtke, MSW, LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
MSW, LICSW
Enumeration Date
Dec 16, 2015
Last Updated
Dec 16, 2015

Practice Location

Address
40 11TH ST
ZIP Code
55720-1817
Phone
(218) 879-4559

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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