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1114066404
KIM PRODGER
LAKEWOOD, CA
NPI
1114066404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 12046)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- KIM PRODGER LCSW
4010 WATSON PLAZA DR SUITE 285
LAKEWOOD, CA 90712-4037
Phone number: 562-497-1505
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Mailing Address
-- KIM PRODGER LCSW
4010 WATSON PLAZA DR SUITE 285
LAKEWOOD, CA 90712-4037
Phone number: 562-497-1505
Copy
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