Individual
MRS. MARY LOU CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MAGUEY CT STE 1, SUNLAND PARK, NM 88063-9513
(575) 589-2400
(866) 591-1407
Mailing address
PO BOX 68, ANTHONY, NM 88021-0068
(915) 487-4303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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