Individual
MS. DIANA PATRICIA TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 553-4242
Mailing address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 553-4242
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-04786
NM
1041C0700X
Clinical Social Worker
Primary
I-06754
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79771882
—
NM
Enumeration date
06/14/2006
Last updated
06/13/2011
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