Individual
WYNEMA CHAVEZ QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4200 MEADOWLARK LN SE, RIO RANCHO, NM 87124-1050
(505) 218-6383
Mailing address
7031 CLARK HILLS DR NE, RIO RANCHO, NM 87144-8677
(505) 206-4290
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2025-0268
NM
Other
Enumeration date
04/21/2025
Last updated
04/28/2025
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