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Organization
KILGALEN ASSOCIATES PA
Active
Organization
KILGALEN ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES F KILGALEN LCSW C (DIRECTOR SR CLINICIAN)
(410) 877-7207
Entity
Organization
Contact information
Practice address
1716 HARFORD RD, SUITE 204, FALLSTON, MD 21047
(410) 877-7207
(410) 877-7224
Mailing address
1716 HARFORD RD, SUITE 204, FALLSTON, MD 21047
(410) 877-7207
(410) 877-7224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03374
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KC83
BLUE CROSS BLUE SHIELD
MD
01
—
T460
BLUE CHOICE
MD
Enumeration date
09/15/2006
Last updated
08/22/2020
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