Individual
MONIQUE RAFUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 EXCHANGE ST, PORTLAND, ME 04101-5000
(207) 558-1814
Mailing address
57 EXCHANGE ST STE 402, PORTLAND, ME 04101-5050
(207) 558-1814
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL4586
ME
Other
Enumeration date
09/23/2015
Last updated
08/19/2021
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