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NPI Code Detail

MEDICARE: MRS. ANDREA SHEREE NARANJO LMSW

MEDICARE: MRS. ANDREA SHEREE NARANJO LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerM-05947NM

General Provider Information

NPI Number : 1184847832
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA SHEREE NARANJO LMSW
Provider Business Mailing Address
First Line : 13 TRUMAN DR
Second Line :
City : CLAYTON
State : NM
Zip : 88415-3719
Country : US
Telephone Number : 575-374-0925
Fax Number :
Provider Business Practice Location Address
First Line : 220 4TH AVE
Second Line :
City : RATON
State : NM
Zip : 87740-2643
Country : US
Telephone Number : 505-445-2754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 06/13/2012

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