Individual
ANDREA ROCHELLE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 4TH ST, LUBBOCK, TX 79415-3329
(806) 472-3400
Mailing address
316 RANGER ST, WOLFFORTH, TX 79382-2103
(806) 239-2045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62043
TX
Other
Enumeration date
05/21/2019
Last updated
02/26/2025
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