Individual
MR. ALFRED CHAVEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
900 CENTRAL AVE, BAYARD, NM 88023
(575) 537-4000
Mailing address
PO BOX 1000, BAYARD, NM 88023-1000
(575) 537-4000
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
050566935
NM
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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