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Organization

CATCH A FALLING STAR

Active
Parent organization
CATCH A FALLING STAR
Organization subpart
Yes

Provider details

NPI number
Legal business name
CATCH A FALLING STAR
Authorized official
LINDA S HUGHES-AVERILL (DIRECTOR)
(207) 945-0137
Entity
Organization

Contact information

Practice address
80 LINCOLN ST., BANGOR, ME 04401
(207) 945-0137
(207) 942-7064
Mailing address
80 LINCOLN STREET, BANGOR, ME 04401
(207) 945-0137
(207) 942-7064

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
06/12/2009
Last updated
06/12/2009
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