Most Relevant Information
Provider Data
| NPI Number: | 1003692997 |
| Provider Name: | SUSAN THARPE LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: | SWB-2023-0231 |
Most Important Dates
| Enumeration Date: | 09/06/2023 |
| Last Updated: | 09/06/2023 |
Provider Practice Location
51 RODEO DRIVE
LAGUNA
NM
870260798
Practice Location Phone/Fax
| Phone: | 5055529200 |
| Fax: | 5055527294 |
Provider Mailing Location
PO BOX 798
LAGUNA
NM
870260798
Provider Mailing Phone/Fax
| Phone: | 5055529200 |
| Fax: | 5055527294 |