Individual
MR. KEN E RAFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
30 MILK STREET, PORTLAND, ME 04101-5116
(207) 329-0852
(207) 839-4704
Mailing address
41 CARLETON STREET, PORTLAND, ME 04102-3225
(207) 329-0852
(207) 761-8150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5407
ME
Other
Enumeration date
10/31/2005
Last updated
10/08/2012
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