Individual
JULIE RAETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, CPRS
Contact information
Practice address
1 VETERANS DR # 4K, MINNEAPOLIS, MN 55417-2309
(612) 467-3757
Mailing address
961 TRILLIUM CT, EAGAN, MN 55123-3990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18660
MN
175T00000X
Peer Specialist
—
MN
Other
Enumeration date
05/17/2017
Last updated
12/03/2024
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