Individual provider · NPI-1
Haydee Hernandez Carrillo, LMSW
Social Worker · Laredo, TX
NPI number1194480079
StatusActive
Last updated in NPPESNov 4, 2021
Details
- NPI
- 1194480079
- Entity type
- Individual (NPI-1)
- Name
- Haydee Hernandez Carrillo
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2021
- Certification date
- Nov 3, 2021
- Last updated
- Nov 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 105302 | TX | Yes |
Practice location
8709 Martinique DrLaredo, TX 78045-8007
Phone 956-645-7728
Mailing address
8709 Martinique DrLaredo, TX 78045-8007
Phone 956-645-7728
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