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Individual

MR. CARLOS R CASTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW,ACSW,BCD

Contact information

Practice address
10 MISSLE AVE, 5MDOS/SGOHP, MINOT AFB, ND 58705-5003
(701) 723-5527
(701) 729-5573
Mailing address
152 CORAL CT, APT 1, MINOT AFB, ND 58704-1346
(701) 727-5753

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003460
CT

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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