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1538121611
MEDA ANN KILLGORE
RUSTON, LA
NPI
1538121611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 4345)
Enumeration Date
2006-04-04
Last Update Date
2007-07-08
Business Address
Ms. MEDA ANN KILLGORE L.C.S.W.
124 KILGORE RD RUSTON
RUSTON, LA 71270-7084
Phone number: 318-251-1418
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Mailing Address
Ms. MEDA ANN KILLGORE L.C.S.W.
200 JEFFERSON OAKS DR RUSTON
RUSTON, LA 71270-7083
Phone number: 318-255-5145
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