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NPI Code Detail

MEDICARE: ALEXANDRA NICOLE GUERRERO LMSW

MEDICARE:   ALEXANDRA NICOLE GUERRERO  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-09787NM

General Provider Information

NPI Number : 1801365275
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA NICOLE GUERRERO LMSW
Provider Business Mailing Address
First Line : 2095 AUSTIN DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-5132
Country : US
Telephone Number : 575-373-5940
Fax Number :
Provider Business Practice Location Address
First Line : 303 N ALAMEDA BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-2590
Country : US
Telephone Number : 575-373-5940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2018
Last Update Date : 11/15/2018

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Directions to “ ALEXANDRA NICOLE GUERRERO LMSW” Practice Location

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