Individual
OLIVIA CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11317 W EMERALD LN, AVONDALE, AZ 85392-3524
(602) 228-8394
Mailing address
PO BOX 130, DEWEY, AZ 86327-0130
(602) 228-8394
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-20325
AZ
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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