Individual
MARSHALL KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3410 OLD LANSING RD, LANSING, MI 48917-4392
(517) 657-2980
Mailing address
3410 OLD LANSING RD, LANSING, MI 48917-4392
(517) 657-2980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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