Individual
KATHRYN SHORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC-C
Contact information
Practice address
49 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(508) 450-8180
Mailing address
49 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(508) 450-8180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL5210
ME
221700000X
Art Therapist
—
—
Other
Enumeration date
03/25/2015
Last updated
07/23/2020
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