Individual
JEANNE CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 TWIN POND DR, NORWALK, CT 06850-1432
(813) 440-1300
Mailing address
2 TWIN POND DR, NORWALK, CT 06850-1432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010270
CT
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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