Samantha Carrillo

NPI #1851779078 in Peralta, New Mexico

Provider Information

NPI Number: 1851779078
Entity Type: Individual
Name: Samantha Carrillo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: May 7, 2015
Last Updated: May 7, 2015

Practice Location

Address: 8 SILVANA CT
City: Peralta
State: New Mexico
ZIP Code: 87042-8871
Phone: (505) 550-6869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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