Individual
DIANE RADTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11240 N FLAT GRANITE DR, TUCSON, AZ 85737-4608
(520) 248-9516
Mailing address
11240 N FLAT GRANITE DR, TUCSON, AZ 85737-4608
(520) 248-9516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-11535
AZ
Other
Enumeration date
12/06/2014
Last updated
12/06/2014
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