Individual
KRISTINA REBEKAH LORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 ELMWOOD AVE, SCARBOROUGH, ME 04074-9584
(207) 210-3831
Mailing address
48 ELMWOOD AVE, SCARBOROUGH, ME 04074-9584
(207) 210-3831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC21318
ME
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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