Individual
JO ELISSA CHAZDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2741 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106-2653
(505) 710-0236
Mailing address
1367 YOUNG AVE SW # C, ALBUQUERQUE, NM 87105-2968
(505) 710-0236
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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