Individual
SUE C RADTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4476 BITTERSWEET CT, JACKSON, WI 53037-9754
(262) 573-9568
Mailing address
4476 BITTERSWEET CT, JACKSON, WI 53037-9754
(262) 573-9568
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2828-057
WI
103TC0700X
Clinical Psychologist
071.007726
IL
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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