Male or Other

Mr. Carlos R. Castillo LCSW,ACSW,BCD

Clinical Social Worker in Minot Afb, ND(View on Map)

Full Name

Mr. Carlos R Castillo LCSW,ACSW,BCD

NPI Number

1265527659

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/03/2006

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Connecticut

License Number

003460

Contact
Information

Purpose

Mailing
Location

Address

152 CORAL CT
10 MISSLE AVE

City

Minot Afb
Minot Afb

State

ND
ND

Postal Code

58704-1346
58705-5003

Country

US
US

Telephone Number

(701) 727-5753
(701) 723-5527

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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