Individual
MR. GABELIO CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4300 E FLAMINGO AVE, NAMPA, ID 83687-3138
(208) 205-1000
Mailing address
720 N GEORGIA AVE, CALDWELL, ID 83605-2507
(208) 891-8451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-38728
ID
1041C0700X
Clinical Social Worker
Primary
8861139
ID
Other
Enumeration date
09/08/2022
Last updated
03/04/2025
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