Individual
TERRY EISENBERG CARRILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
535 N WILMOT RD, TUCSON, AZ 85711-2600
(520) 694-1794
Mailing address
535 N WILMOT RD, TUCSON, AZ 85711-2600
(520) 694-1794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018745
PA
Other
Enumeration date
09/15/2014
Last updated
08/17/2020
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