Individual
CAROLE CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3216 NE 45TH PL STE 105, SEATTLE, WA 98105-4028
(206) 387-3614
Mailing address
2030 WESTERN AVE APT 603, SEATTLE, WA 98121-2124
(206) 387-3614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00008061
WA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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