Individual
JESSICA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
415 CEDAR ST SE, ALBUQUERQUE, NM 87106-3927
(505) 224-7020
Mailing address
415 CEDAR ST SE, ALBUQUERQUE, NM 87106-3927
(505) 224-7020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5582
NM
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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