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Individual

MS. MARTHA LYNNE KILGORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
301 14TH ST NW, FT. PAYNE, AL 35967-3155
(256) 845-4571
(256) 845-4582
Mailing address
425 5TH AVE NW, ATTALLA, AL 35954-2214
(256) 492-7800
(256) 494-5536

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2005
AL
101YP2500X
Professional Counselor
Primary
2005AL
AL

Other

Enumeration date
12/26/2006
Last updated
09/26/2011
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