Kilgallon, Mark J
Kilgallon, Mark J is an sole proprietor health care provider with primary practice located at 60 Terrace St , Brattleboro VT 05301-3105. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kilgallon, Mark J can be contacted via phone (413) 522-9158.Contact Information
Primary practice address
60 Terrace St
Brattleboro VT 05301-3105
Phone: (413) 522-9158
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 212047 | Massachusetts |
Profile Details
| NPI number | 1881739761 |
|---|---|
| LBN Legal business name | Kilgallon, Mark J |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Mar 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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