KIM PRODGER

LAKEWOOD, CA
NPI1114066404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 12046)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
-- KIM PRODGER LCSW
4010 WATSON PLAZA DR SUITE 285
LAKEWOOD, CA 90712-4037
Phone number: 562-497-1505
Mailing Address
-- KIM PRODGER LCSW
4010 WATSON PLAZA DR SUITE 285
LAKEWOOD, CA 90712-4037
Phone number: 562-497-1505