Individual
STEPHEN JEROME CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1200 HWY 60, SOCORRO, NM 87801-3914
(575) 835-2444
Mailing address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-11998
NM
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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