Individual
MRS. SHERYL TRULUCK EAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
80 CYPRESS TRL, LAKELAND, GA 31635-5433
(229) 412-3127
(229) 482-9653
Mailing address
80 CYPRESS TRAIL, LAKELAND, GA 31635-4355
(229) 412-3127
(229) 482-9653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSW003355
LICENSING BOARD OF PSYCHOLOGIST, SOCIAL WORKERS
GA
Enumeration date
02/17/2020
Last updated
02/17/2020
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