Individual
MS. SALLY JOAN PROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
4710 15TH AVE SW, NAPLES, FL 34116-5144
(314) 583-6231
Mailing address
4710 15TH AVE SW, NAPLES, FL 34116-5144
(314) 583-6231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001640
MO
Other
Enumeration date
06/11/2007
Last updated
10/29/2016
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