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Individual

CARLEY TRILLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW , MSW, LICDC

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1903309
OH
104100000X
Social Worker
S.1903309
OH
324500000X
Substance Abuse Rehabilitation Facility
164574
OH

Other

Enumeration date
02/13/2018
Last updated
06/02/2021
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