KIM PRODGER, LCSW

Social Worker - Clinical

Active Individual
NPI: 1114066404

Practice Address

4010 WATSON PLAZA DR
SUITE 285
Lakewood, CA 90712

Phone: (562) 497-1505

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LCS 12046 (CA)

Frequently Asked Questions

NPI 1114066404 is the National Provider Identifier for KIM PRODGER, LCSW, a Social Worker - Clinical provider located in Lakewood, CA. This NPI was enumerated on February 5, 2007.
KIM PRODGER, LCSW practices at 4010 WATSON PLAZA DR, SUITE 285, Lakewood, CA 90712.

Quick Facts

NPI
1114066404
Type
Individual
Enumerated
Feb 5, 2007
Last Updated
Jul 8, 2007

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