MICHAEL R RADKE

KENOSHA, WI
NPI1235290438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  223-123)
Enumeration Date2006-12-12
Last Update Date2007-07-08
Business Address
-- MICHAEL R RADKE LCSW
920 60TH ST
KENOSHA, WI 53140-4041
Phone number: 262-654-5333
Mailing Address
-- MICHAEL R RADKE LCSW
920 60TH ST
KENOSHA, WI 53140-4041
Phone number: 262-654-5333