Individual
MS. AMANDA ELIZABETH RADTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6912 220TH ST SW, MOUNTLAKE TERRACE, WA 98043-2169
(425) 672-2716
Mailing address
PO BOX 99512, SEATTLE, WA 98139-0512
(415) 515-2607
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
43585
CA
106H00000X
Marriage & Family Therapist
Primary
LF 60159362
WA
Other
Enumeration date
03/03/2007
Last updated
02/04/2011
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