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Individual

BETHANY CAMILLE TERCERO-INCHAUSTEGUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2100 YUCCA ST, SANTA FE, NM 87505-5456
(505) 467-2439
Mailing address
2100 YUCCA ST, SANTA FE, NM 87505-5456
(505) 467-2439

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SWB-2023-0052
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0404
NM

Other

Enumeration date
08/12/2024
Last updated
11/03/2025
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