Individual
MARION MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSP/CRMA
Contact information
Practice address
83 CLEVELAND ROAD, SAINT AGATHA, ME 04772-0214
(207) 543-6302
(207) 543-6302
Mailing address
PO BOX 214, 83 CLEVELAND ROAD, SAINT AGATHA, ME 04772-0214
(207) 543-6302
(207) 543-6302
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
3001860
ME
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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