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Individual
MRS. JULIE M RADTKE
Active
Individual
MRS. JULIE M RADTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 15109
CA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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