Individual
MS. PEGGY LAVERNE CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
301 PERKINS DR, STE B, LAS CRUCES, NM 88005-3248
(505) 642-3583
Mailing address
PO BOX 27437, STE B, ALBUQUERQUE, NM 87125-7437
(505) 503-8934
(505) 503-8604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3364
NM
Other
Enumeration date
02/24/2007
Last updated
02/08/2017
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