Individual
MRS. FANCY MARIE KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC II
Contact information
Practice address
100 1ST AVE SW STE 3, WINCHESTER, TN 37398-1754
(931) 313-1588
Mailing address
100 1ST AVE SW STE 3, STE 3, WINCHESTER, TN 37398-1754
(931) 313-1588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1797
TN
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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