Individual
ANGEL MORNINGSTAR RADDATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 SAWYER DR STE 100, DURANGO, CO 81303-3409
(970) 259-2162
(970) 247-5255
Mailing address
PO BOX 1328, DURANGO, CO 81302-1328
(970) 335-2238
(970) 565-9005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09927309
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-6000022
—
NV
Enumeration date
06/09/2014
Last updated
03/15/2024
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