Individual
TARA CARMELINA LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
36 STATE ROAD 522 STE 6, EL PRADO, NM 87529-6051
(575) 770-8903
Mailing address
1358 HALF MOON RD, EL PRADO, NM 87529-7477
(505) 699-9127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2023
Last updated
11/21/2025
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