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Nicole Carrillo, CCC
NPI 1366863995 · on the registry since 2013
Practice
- Address
- 640 Nw Jefferson St
Grain Valley, MO 64029 - Phone
- (816) 785-2284
- Fax
- (816) 633-4371
- Organisation at this address
- Starz Pediatric Therapy Network
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri