Individual
KRISTINE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
PEDIATRICS DEPARTMENT 1 UNIVERSITY OF NEW, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 925-7608
Mailing address
PEDIATRICS DEPARTMENT 1 UNIVERSITY OF NEW, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 925-7608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-1125
NM
Other
Enumeration date
08/01/2006
Last updated
01/03/2017
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