Individual
CAROL CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10230 ARTESIA BLVD # S104, BELLFLOWER, CA 90706-6763
(562) 356-9692
Mailing address
10230 ARTESIA BLVD # S104, BELLFLOWER, CA 90706-6763
(562) 356-9692
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
05/27/2025
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