Individual
CLAIRE EVELINA RADATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17685 JUNIPER PATH, LAKEVILLE, MN 55044
(952) 214-8959
Mailing address
4496 CINNAMON RIDGE TRAIL, EAGAN, MN 55122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
MN
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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