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Individual

CHRISTOPHER CARRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
4003 22ND ST, LUBBOCK, TX 79410-1115
(806) 500-6186
Mailing address
4003 22ND ST, LUBBOCK, TX 79410-1115
(806) 500-6186

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106827
TX

Other

Enumeration date
08/08/2022
Last updated
11/16/2023
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