Individual
JOANN T. RADEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
JOANN T. RADEKE
Contact information
Practice address
1004 S WASHINGTON ST, SUITE 110, KAUFMAN, TX 75142-2739
(972) 932-3941
(972) 932-4941
Mailing address
PO BOX 517, KAUFMAN, TX 75142-0517
(972) 932-3941
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30886
TX
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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