Individual
MARILYN TRUELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6435 QUAY ROAD AP, TUCUMCARI, NM 88401-9525
(575) 403-7631
Mailing address
6435 QUAY ROAD AP, TUCUMCARI, NM 88401-9525
(575) 403-7631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/15/2013
Last updated
10/03/2023
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