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Organization
STEVEN R.KILGORE, LCSW
Active
Organization
STEVEN R.KILGORE, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY A. KILGORE (OFFICE MANAGER)
(404) 402-3100
Entity
Organization
Contact information
Practice address
617 PARKSIDE VILLAGE WAY NW, MARIETTA, GA 30060-7957
(770) 514-1657
Mailing address
617 PARKSIDE VILLAGE WAY NW, MARIETTA, GA 30060-7957
(770) 514-1657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001094
GA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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