Provider Information for 1164772547
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Mrs. MONIQUE M MURRAY MS CRC, LCPC, CADC
Sex: Female
NPI: 1164772547
Last Updated: 2018-10-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1164772547 | ||||||||||||
| Enumeration Date | 2012-09-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 362 STANDISH, ME 04084-0362 United States Phone: 207-850-0314 | Fax:207-637-5057 | ||||||||||||
| Primary Practice Address | 70 OSSIPEE TRL E STANDISH, ME 04084-6400 United States Phone: 207-850-0314 | Fax: | ||||||||||||
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