STACEY L PROTHRO

LONG BEACH, CA
NPI1437323003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  29497)
Additional Taxonomies101YM0800X Counselor, Mental Health
1041S0200X Social Worker, School
Enumeration Date2008-04-15
Last Update Date2022-01-31
Business Address
Ms. STACEY L PROTHRO LCSW
4101 MCGOWEN ST STE 110133
LONG BEACH, CA 90808-1898
Phone number: 310-962-7126
Mailing Address
Ms. STACEY L PROTHRO LCSW
4101 MCGOWEN ST STE 110-133
LONG BEACH, CA 90808-1898
Phone number: 310-962-1726