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Individual

LIDIA M VEGA CHAVIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1403 S MESILLA ST, DEMING, NM 88030-4944
(575) 332-1312
Mailing address
1403 S MESILLA ST, DEMING, NM 88030-4944

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2023-0325
NM
104100000X
Social Worker
Primary
SWB-2025--1125
NM
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
09/08/2021
Last updated
05/26/2026
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