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Individual

RACHEL J MICHAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
31 MARKET ST, FORT KENT, ME 04743-1418
(207) 834-5430
Mailing address
11 W MAIN ST, STE 103, FORT KENT, ME 04743-1250
(207) 834-5430

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC10670
ME
1041C0700X
Clinical Social Worker
Primary
LC12287
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432391999
ME
Enumeration date
04/17/2007
Last updated
06/12/2019
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