Individual
MISS GABRIELLE MARIE KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
22 W PADONIA RD STE C348, TIMONIUM, MD 21093-2243
(443) 286-9613
Mailing address
3105 ORLANDO AVE, BALTIMORE, MD 21234-7834
(443) 286-9613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16252
MD
Other
Enumeration date
06/11/2012
Last updated
10/17/2019
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