Individual
MISS CHANTELLE LATRICE BURNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
5330 SAN MATEO BLVD NE APT B43, ALBUQUERQUE, NM 87109-6273
(850) 980-0761
Mailing address
5330 SAN MATEO BLVD NE APT B43, ALBUQUERQUE, NM 87109-6273
(850) 980-0761
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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