Individual
JANE KILGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1030 VILLAGE DR, WATKINSVILLE, GA 30677-6004
(706) 769-4535
(706) 769-2750
Mailing address
1030 VILLAGE DR, WATKINSVILLE, GA 30677-6004
(706) 769-4535
(706) 769-2750
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2127
GA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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