Individual
ALEXANDRA GRACE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
2629 CLARENDON AVE FL 2N, HUNTINGTON PARK, CA 90255-4119
(909) 762-5662
Mailing address
2629 CLARENDON AVE FL 2, HUNTINGTON PARK, CA 90255-4119
(909) 762-5662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120820
CA
Other
Enumeration date
11/19/2018
Last updated
07/19/2024
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