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Individual

RITA M MICHAUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
116 TYLER ST, VAN BUREN, ME 04785-2207
(207) 868-2216
Mailing address
PO BOX 183, VAN BUREN, ME 04785-0183
(207) 868-2216

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
04/30/2009
Last updated
04/30/2009
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