ALICIA JO CARRILLO

CHUBBUCK, ID
NPI1841901303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  8911078)
Enumeration Date2022-12-06
Last Update Date2025-04-23
Business Address
ALICIA JO CARRILLO LCSW
265 E CHUBBUCK RD
CHUBBUCK, ID 83202-5055
Phone number: 208-237-1711
Mailing Address
ALICIA JO CARRILLO LCSW
265 E CHUBBUCK RD
CHUBBUCK, ID 83202-5055
Phone number: 208-237-1711