Individual
KASSI MARIE SWALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1577 CONGRESS ST, PORTLAND, ME 04102-2169
(207) 662-1622
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1090
ME
Other
Enumeration date
05/15/2014
Last updated
04/27/2017
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