WAYNE JOHN RAITER

RICHFIELD, MN
NPI1730299819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  04044)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Mr. WAYNE JOHN RAITER MA LICSW
6701 PENN AVE S
RICHFIELD, MN 55423
Phone number: 612-861-6129
Mailing Address
Mr. WAYNE JOHN RAITER MA LICSW
6701 PENN AVE S
RICHFIELD, MN 55423
Phone number: 612-861-6129