Organization
BLUE HAIRED SOCIAL WORKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN CHRISTINE CARRILLO LCSW (OWNER)
(469) 264-0989
Entity
Organization
Contact information
Practice address
7128 WOODLAND TERRACE DR, DALLAS, TX 75232-3764
(469) 903-6800
Mailing address
7128 WOODLAND TERRACE DR, DALLAS, TX 75232-3764
(469) 903-6800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
09/16/2024
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