Individual
MRS. DONNA MARGARET CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
15834 CLAYTON RD., ELLISVILLE, MO 63011
(636) 227-2339
(636) 227-8711
Mailing address
15834 CLAYTON RD., ELLISVILLE, MO 63011
(636) 227-2339
(636) 227-8711
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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