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Individual

MARGARET MARIE RAUENHORST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
47 START RD, CAMDEN, ME 04843-4427
(207) 236-8139
Mailing address
47 START RD, CAMDEN, ME 04843-4427

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
234560000
DHHS
ME
05
234560000
ME
Enumeration date
11/23/2009
Last updated
11/23/2009
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