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1730299819
WAYNE JOHN RAITER
RICHFIELD, MN
NPI
1730299819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 04044)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Mr. WAYNE JOHN RAITER MA LICSW
6701 PENN AVE S
RICHFIELD, MN 55423
Phone number: 612-861-6129
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Mailing Address
Mr. WAYNE JOHN RAITER MA LICSW
6701 PENN AVE S
RICHFIELD, MN 55423
Phone number: 612-861-6129
Copy
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