Individual
CAMILLE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(575) 627-2622
Mailing address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(575) 627-2622
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11108
NM
Other
Enumeration date
03/19/2019
Last updated
04/25/2023
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