Robert E Radaz Jr., LMSW
Social Worker, Clinical in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1881846830
StatusActive
Last updated in NPPESOct 2, 2025
Details
- NPI
- 1881846830
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert E Radaz Jr.
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2008
- Certification date
- Oct 2, 2025
- Last updated
- Oct 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801064645 | MI | Yes |
Practice location
3292 N Evergreen Dr NeGrand Rapids, MI 49525-9746
Phone 616-365-8920
Mailing address
300 68th St SeGrand Rapids, MI 49548-6927
Phone 616-455-5000
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