Individual
KATHLEEN CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
876 YORKSHIRE DR, ALEXANDRIA, KY 41001-8276
(812) 622-0448
Mailing address
876 YORKSHIRE DR, ALEXANDRIA, KY 41001-8276
(812) 622-0448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11-030
KY
Other
Enumeration date
05/17/2011
Last updated
06/24/2020
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