Individual
GRISELDA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 HEDGE LANE TER APT 105, SHAWNEE, KS 66226-4883
(956) 360-6536
Mailing address
6600 HEDGE LANE TER APT 105, SHAWNEE, KS 66226-4883
(956) 360-6536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
KS
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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