Organization
SOCIAL BUTTERFLY THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY L CHACON M.A CCC-SLP (OWNER)
(575) 642-3583
Entity
Organization
Contact information
Practice address
325 CANDELARIA RD NE, SUITE B, ALBUQUERQUE, NM 87107-2231
(505) 503-8934
(505) 503-8604
Mailing address
PO BOX 27437, 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56952783
—
NM
Enumeration date
08/26/2016
Last updated
08/26/2016
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