Individual
SIMMONE RENEE KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
933 N MAYFAIR RD STE 303, WAUWATOSA, WI 53226-3432
(414) 975-9300
Mailing address
933 N MAYFAIR RD STE 303, WAUWATOSA, WI 53226-3432
(414) 975-9300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7569-125
WI
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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