Individual
MR. JEFFREY RAICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
871 JEFFERSON AVE, SAINT PAUL, MN 55102-2506
(651) 408-5069
(855) 407-1613
Mailing address
871 JEFFERSON AVE, SAINT PAUL, MN 55102-2506
(651) 408-5069
(855) 407-1613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18483
MN
Other
Enumeration date
12/28/2009
Last updated
08/03/2021
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