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Individual

ANDREA LYNETTE RASCON-THORPE

Active
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Individual

ANDREA LYNETTE RASCON-THORPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08658
NM
1041S0200X
School Social Worker
X-08351
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42678340
NM
01
X-08351
STATE OF NEW MEXICO
NM
Enumeration date
09/04/2013
Last updated
01/02/2025
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