AMANDA RAE RADTKE

CLOQUET, MN
NPI1679938724
Former NameAMANDA RAE OSTBY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  22551)
Enumeration Date2015-12-16
Last Update Date2015-12-16
Business Address
-- AMANDA RAE RADTKE MSW, LICSW
40 11TH ST
CLOQUET, MN 55720-1817
Phone number: 218-879-4559
Mailing Address
-- AMANDA RAE RADTKE MSW, LICSW
1401 E 1ST ST
DULUTH, MN 55805-2407
Phone number: 218-728-4491