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1235290438
MICHAEL R RADKE
KENOSHA, WI
NPI
1235290438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 223-123)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- MICHAEL R RADKE LCSW
920 60TH ST
KENOSHA, WI 53140-4041
Phone number: 262-654-5333
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Mailing Address
-- MICHAEL R RADKE LCSW
920 60TH ST
KENOSHA, WI 53140-4041
Phone number: 262-654-5333
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