| Awakening Growth, Llc | |
|
116 Ave C Cloquet MN 55720 | |
| (218) 591-0068 | |
| Not Available |
| Full Name | Awakening Growth, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 116 Ave C, Cloquet, Minnesota |
| Authorized Official Name and Position | Amanda Radtke (OWNER) |
| Authorized Official Contact | 2185910068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening Growth, Llc 116 Ave C Cloquet MN 55720 Ph: (218) 591-0068 | Awakening Growth, Llc 116 Ave C Cloquet MN 55720 Ph: (218) 591-0068 |
| NPI Number | 1447786652 |
|---|---|
| Provider Enumeration Date | 05/08/2017 |
| Last Update Date | 05/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447786652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22551 (Minnesota) | Primary |
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