Individual
JOHN MARION CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 JEFFERSON ST NE STE 301, ALBUQUERQUE, NM 87109-7390
(505) 705-1701
(505) 212-1253
Mailing address
1120 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-2912
(505) 818-4595
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/14/2023
Last updated
02/17/2025
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