Individual
LEANN M CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4202 W MCGAFFEY ST, ROSWELL, NM 88203-9384
(575) 623-6749
(575) 623-1322
Mailing address
PO BOX 751, ROSWELL, NM 88202-0751
(575) 623-6749
(575) 623-1322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09816
NM
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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