Individual
MRS. ANDREA KELLY SCHACHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 BAXTER BLVD, PORTLAND, ME 04101-1801
(207) 775-5671
Mailing address
1017 CONGRESS ST, APT 1, PORTLAND, ME 04102-2717
(920) 819-3620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAC5160
ME
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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