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Organization

AWAKENING GROWTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA RADTKE MSW, LICSW (OWNER)
(218) 591-0068
Entity
Organization

Contact information

Practice address
116 AVE C, CLOQUET, MN 55720
(218) 591-0068
Mailing address
116 AVE C, CLOQUET, MN 55720
(218) 591-0068

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22551
MN

Other

Enumeration date
05/08/2017
Last updated
05/08/2017
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