Individual
MR. JULIAN ROBERT TRUJILLO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
912 1ST ST NW, ALBUQUERQUE, NM 87102-2355
(505) 224-9777
(505) 224-9779
Mailing address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-1225
NM
171M00000X
Case Manager/Care Coordinator
3130
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902918055
—
NM
Enumeration date
07/14/2015
Last updated
03/01/2024
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