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Individual

MS. OCTAVIA ROGERS CLAMPET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
53 BRIDAL FALLS LANE, TULAROSA, NM 88352
(575) 430-1174
(575) 208-7255
Mailing address
53 BRIDAL FALLS LANE, TULAROSA, NM 88352
(575) 430-1174

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
40484
TX
104100000X
Social Worker
Primary
C-04974
NM
104100000X
Social Worker

Other

Enumeration date
09/22/2006
Last updated
08/23/2022
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