Individual
RAE LAMOREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 STATION RD, EASTON, ME 04740-0043
(207) 488-0975
(207) 488-0975
Mailing address
PO BOX 43, EASTON, ME 04740-0043
(207) 488-0975
(207) 488-0975
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434467000
—
ME
Enumeration date
08/25/2009
Last updated
08/25/2009
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