Individual
MRS. LARALEA ANTONETTE CHAVEZ DE HATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
(505) 433-8314
Mailing address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
(505) 433-8314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
M-11592
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2023-1236
NM
Other
Enumeration date
03/03/2021
Last updated
11/12/2024
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