Individual
MRS. MELISSA ANNE RAATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, CHT
Contact information
Practice address
10505 WAYZATA BLVD STE 203-3, MINNETONKA, MN 55305-1502
(763) 242-3261
(866) 318-3073
Mailing address
417 RUCKS FARM RD, DELANO, MN 55328-8837
(763) 242-3261
(866) 318-3073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3462
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710295001
—
MN
Enumeration date
11/07/2018
Last updated
10/26/2022
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