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Individual

CHASITY LEBLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FAMILY PEER SUPPORT

Contact information

Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
Mailing address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2041
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
70784272
NM
Enumeration date
09/02/2021
Last updated
09/02/2021
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