Individual
MR. CALVIN WHEELER PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3511 CAMINO DEL RIO SOUTH, SUITE 500, SAN DIEGO, CA 92108-4022
(619) 282-4600
(619) 624-0178
Mailing address
3511 CAMINO DEL RIO SOUTH, SUITE 500, SAN DIEGO, CA 92108-4022
(619) 282-4600
(619) 624-0178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS10519
CA
Other
Enumeration date
08/23/2006
Last updated
08/06/2010
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