Individual
TERRY L TRUCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
890 LAZELLE ST, STURGIS, SD 57785-1611
(605) 347-3616
(605) 347-4713
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 347-3616
(605) 347-4713
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
826
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4994246
WELLMARK
SD
05
—
6570345
—
SD
Enumeration date
05/15/2006
Last updated
03/10/2008
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