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Individual

PAMELA P TRUJILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LBSW

Contact information

Practice address
111 N. RAILROAD AVENUE, ESPANOLA, NM 87532-2627
(505) 753-7218
(505) 753-5815
Mailing address
111 N RAILROAD AVE, ESPANOLA, NM 87532-2627
(505) 753-7218
(505) 753-5815

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
B-07080
NM

Other

Enumeration date
09/23/2009
Last updated
09/23/2009
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