MRS. Nicole Carrillo, CCC
NPI #1366863995 in Grain Valley, Missouri
Provider Information
- NPI Number
- 1366863995
- Entity Type
- Individual
- Name
- MRS. Nicole Carrillo, CCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC
- Enumeration Date
- Dec 28, 2013
- Last Updated
- Dec 28, 2013
Practice Location
- Address
- 640 NW JEFFERSON ST
- City
- Grain Valley
- State
- Missouri
- ZIP Code
- 64029-8278
- Phone
- (816) 785-2284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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