Individual
ADELMA ANSLEY KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1835 GILMORE AVE, LAKELAND, FL 33805-3017
(863) 519-0575
(863) 582-9251
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
(863) 582-9251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C000609
NC
1041C0700X
Clinical Social Worker
Primary
SW8472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768097000
—
FL
Enumeration date
08/12/2006
Last updated
05/04/2016
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