KELLY D PROTHERO

CORTE MADERA, CA
NPI1225112055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 26369)
Enumeration Date2006-10-25
Last Update Date2011-05-31
Business Address
Ms. KELLY D PROTHERO LCSW
100 TAMAL PLZ SUITE 195
CORTE MADERA, CA 94925-1125
Phone number: 415-497-8322
Mailing Address
Ms. KELLY D PROTHERO LCSW
321 LAUREL PL
SAN RAFAEL, CA 94901-2012
Phone number: 415-747-8903
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