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1780240119
CLARISSA SHADAE CARRILLO
SACRAMENTO, CA
NPI
1780240119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2019-05-10
Last Update Date
2023-08-10
Business Address
CLARISSA SHADAE CARRILLO
2829 WATT AVE
SACRAMENTO, CA 95821-6200
Phone number: 916-531-0143
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Mailing Address
CLARISSA SHADAE CARRILLO
811 GRAND AVE
SACRAMENTO, CA 95838-3466
Phone number: 916-922-9868
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