Individual
ANA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376
(909) 421-9451
(909) 873-4494
Mailing address
2712 W WINDHAVEN DR, RIALTO, CA 92377-3451
(626) 967-1667
(626) 967-6027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW72146
CA
Other
Enumeration date
03/07/2007
Last updated
06/28/2018
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