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Individual

KAYLA CARRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687
(505) 747-0081
(505) 747-0083
Mailing address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687
(505) 469-7675

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11580
NM

Other

Enumeration date
09/11/2023
Last updated
04/08/2025
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