Individual
LISA NOELANI CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 N CAMPO ST, LAS CRUCES, NM 88001-3433
(575) 993-4753
Mailing address
330 N CAMPO ST, LAS CRUCES, NM 88001-3433
(575) 993-4753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08770
NM
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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