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Individual

MS. ANNA MARIE CARRILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-S, RPT-S

Contact information

Practice address
835 TOWER DR, ODESSA, TX 79761-4237
(432) 853-3645
Mailing address
835 TOWER DR, ODESSA, TX 79761-4237
(432) 853-3645

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16155
TX

Other

Enumeration date
06/15/2007
Last updated
07/08/2007
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