MRS. Fancy Marie Kilgore, LADAC II
NPI #1366300493 in Winchester, Tennessee
Provider Information
- NPI Number
- 1366300493
- Entity Type
- Individual
- Name
- MRS. Fancy Marie Kilgore, LADAC II
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADAC II
- Enumeration Date
- Jan 15, 2026
- Last Updated
- Jan 15, 2026
Practice Location
- Address
- 100 1ST AVE SW STE 3
- City
- Winchester
- State
- Tennessee
- ZIP Code
- 37398-1754
- Phone
- (931) 313-1588
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