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Individual

LAURA VOIGHT-RADTKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LP

Contact information

Practice address
460 NORTHSIDE DR NE STE 5, ALEXANDRIA, MN 56308-2355
(701) 451-4900
Mailing address
304 ERICKSON HERITAGE NE, ALEXANDRIA, MN 56308-8960

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4632
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56308-A005
TRI WEST
MN
01
812T7RA
BCBS MN
MN
01
HP69866
HEALTH PARTNERS
MN
Enumeration date
04/24/2007
Last updated
07/08/2007
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