Individual
KENNETH D MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1 LINCOLN PKWY STE 202, HATTIESBURG, MS 39402-3261
(601) 288-8050
Mailing address
1 LINCOLN PKWY STE 202, HATTIESBURG, MS 39402-3261
(601) 288-8050
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0396
MS
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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