Individual
MS. MARIA LOUISE RADELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3705
Mailing address
42353 WOODWARD AVE, BLOOMFIELD HILLS, MI 48304-5040
(810) 790-2763
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016113
MI
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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