Individual
MR. DONALD A. CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
6 JARAMILLO RD, BELEN, NM 87002-7357
(505) 864-3281
Mailing address
PO BOX 1351, BELEN, NM 87002-1351
(505) 864-3281
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-0453
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69484
—
NM
Enumeration date
01/08/2007
Last updated
02/19/2013
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