Individual
MRS. THERESA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1611 W 2ND ST, LIBERAL, KS 67901-5100
(580) 461-1932
Mailing address
1720 BELLAIRE AVE, LIBERAL, KS 67901-2104
(580) 461-1932
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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