Prothero, Kelly D
Prothero, Kelly D is an sole proprietor health care provider with primary practice located at 100 Tamal Plz Suite 195, Corte Madera CA 94925-1125. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Prothero, Kelly D can be contacted via phone (415) 497-8322.Contact Information
Primary practice address
100 Tamal Plz Suite 195
Corte Madera CA 94925-1125
Phone: (415) 497-8322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 26369 | California |
Profile Details
| NPI number | 1225112055 |
|---|---|
| LBN Legal business name | Prothero, Kelly D |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | May 31st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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