Individual
MARLENE ANN CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 WYATT DR STE 9, LAS CRUCES, NM 88005-2962
(575) 246-4642
Mailing address
1550 DURAZNO ST, LAS CRUCES, NM 88001-4252
(575) 246-2642
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NM
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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