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Mr. GABELIO CARRILLO LMSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1497476253
Provider Type
Individual Provider (NPI-1)
Credentials
LMSW
Status
Active

Contact & Location

Address
4300 E FLAMINGO AVE, NAMPA, ID, 836873138
Phone
(208) 205-1000

Specialties & Taxonomies

Social Worker License: ID #LMSW-38728
Social Worker, Clinical Primary License: ID #8861139

All Addresses

LOCATION

4300 E FLAMINGO AVE

NAMPA, ID, 836873138

(208) 205-1000

MAILING

720 N GEORGIA AVE

CALDWELL, ID, 836052507

(208) 891-8451