Individual
MARY J RADEMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LP
Contact information
Practice address
1209 E COLLEGE DR, MARSHALL, MN 56258-6400
(507) 532-6072
(507) 532-6072
Mailing address
1209 E COLLEGE DR, MARSHALL, MN 56258-6400
(507) 532-6072
(507) 532-6072
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0959
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
585993RA
BC/BS
MN
Enumeration date
11/01/2007
Last updated
07/21/2022
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