Individual
SUSAN THARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
51 RODEO DRIVE, LAGUNA, NM 87026-0798
(505) 552-9200
(505) 552-7294
Mailing address
PO BOX 798, LAGUNA, NM 87026-0798
(505) 552-9200
(505) 552-7294
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SWB-2023-0231
NM
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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