MS. Kelly D Prothero, LCSW

NPI #1225112055 in Corte Madera, California

Provider Information

NPI Number: 1225112055
Entity Type: Individual
Name: MS. Kelly D Prothero, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 25, 2006
Last Updated: May 31, 2011

Practice Location

Address: 100 TAMAL PLZ
Address 2: SUITE 195
City: Corte Madera
State: California
ZIP Code: 94925-1125
Phone: (415) 497-8322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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