Individual
MS. RITA A RADEMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 863-1132
(228) 865-1700
Mailing address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 863-1132
(228) 865-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
M9270
MS
104100000X
Social Worker
Primary
M9270
MS
Other
Enumeration date
04/23/2019
Last updated
07/03/2019
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