Individual
CASSANDRA M CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1107 S ATKINSON AVE, ROSWELL, NM 88203-7154
(575) 578-4826
Mailing address
1107 S ATKINSON AVE, ROSWELL, NM 88203-7154
(575) 578-4826
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
C-09035
NM
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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