Individual
ANGELA CELESTE RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9100 W IH 10, SAN ANTONIO, TX 78230-3113
(210) 928-3900
(210) 855-5974
Mailing address
9100 W IH 10, SAN ANTONIO, TX 78230-3113
(210) 928-3900
(210) 855-5974
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
66908
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66908
LICENSED MASTER SOCIAL WORK
TX
Enumeration date
03/16/2020
Last updated
03/16/2020
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