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1336173301
JT CARRILLO
ALBUQUERQUE, NM
NPI
1336173301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-04891)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
-- JT CARRILLO LISW
2132A CENTRAL AVE SE # 249
ALBUQUERQUE, NM 87106-4083
Phone number: 505-259-7769
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Mailing Address
-- JT CARRILLO LISW
2132A CENTRAL AVE SE # 249
ALBUQUERQUE, NM 87106-4083
Phone number: 505-259-7769
Copy
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