Individual
MS. CLARA A. TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7324
Mailing address
713 CREIGHTON ST, CHEYENNE, WY 82009-3232
(307) 638-6742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAT-218A
WY
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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