Individual
GRACE LILLIAN KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-8580
Mailing address
84 WATER ST W APT 604, SAINT PAUL, MN 55107-2009
(651) 210-4249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29780
MN
Other
Enumeration date
08/23/2021
Last updated
06/06/2025
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