Individual
CECILLA TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 W MARKHAM ST # 568, LITTLE ROCK, AR 72205-7101
(501) 526-8426
(501) 526-8210
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7173-M
AR
1041C0700X
Clinical Social Worker
Primary
7173-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346555851
—
AR
Enumeration date
08/10/2010
Last updated
08/02/2021
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