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Individual

PAUL RADTKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PLMHP, PLDAC

Contact information

Practice address
2170 N PLATTE AVE, FREMONT, NE 68025-2630
(402) 753-6440
Mailing address
2170 N PLATTE AVE, FREMONT, NE 68025-2630
(402) 753-6440

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12303
NE

Other

Enumeration date
09/10/2020
Last updated
09/10/2020
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