Individual
MRS. ANDREA MARY QUAST-MORTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 SAINT JOHN ST, SUITE 255, PORTLAND, ME 04102-3041
(207) 775-4384
Mailing address
222 SAINT JOHN ST, SUITE 255, PORTLAND, ME 04102-3041
(845) 380-0829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ME 492044
ME
Other
Enumeration date
09/08/2008
Last updated
07/29/2011
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