GINA MICHELLE CARRILLO-JACKMAN

OAK PARK, CA
NPI1053018911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  21810)
Enumeration Date2023-02-10
Last Update Date2023-02-10
Business Address
Mrs. GINA MICHELLE CARRILLO-JACKMAN LCSW
6193 BARONS WAY
OAK PARK, CA 91377-5849
Phone number: 818-584-6395
Mailing Address
Mrs. GINA MICHELLE CARRILLO-JACKMAN LCSW
5737 KANAN RD # 438
AGOURA, CA 91301-1601
Phone number: 818-854-0081
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