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SAMANTHA CARRILLO

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1851779078

Individual Registrant:
 SAMANTHA  CARRILLO 
Gender: F
Sole Proprietor

Location and contact information for practice:
8 SILVANA CT  PERALTA, NM 87042-8871 US
Tel: 505-550-6869  Fax: --

Contact information for business:
8 SILVANA CT  PERALTA, NM 87042-8871 US
Tel: --  Fax: --

Registration Information:
NPI: 1851779078
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NM - Page 1

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