Individual
PAMELA K RADOSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
123 16TH AVE S, ONALASKA, WI 54650-3109
(608) 775-8646
Mailing address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 775-2287
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
900
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39615700
—
WI
Enumeration date
06/21/2005
Last updated
07/08/2007
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