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Individual

CATHERINE A LORELLO-SNOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC

Contact information

Practice address
477 CONGRESS ST STE 408, PORTLAND, ME 04101-3431
(207) 773-7811
(207) 773-0663
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
C193
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RB9
ANTHEM
ME
Enumeration date
11/06/2006
Last updated
07/09/2007
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