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Individual

MIRIAM THORP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.I.S.W.

Contact information

Practice address
555 OPPENHEIMER DR, SUITE 200, LOS ALAMOS, NM 87544-2384
(505) 660-5726
Mailing address
555 OPPENHEIMER DR, SUITE 200, LOS ALAMOS, NM 87544-2384
(505) 660-5726

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-04885
NM
1041S0200X
School Social Worker
I04885
NM

Other

Enumeration date
08/31/2012
Last updated
08/06/2013
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