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Individual

MR. CHARLES EDWARD CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
632 CHAMA ST SE, ALBUQUERQUE, NM 87108-3963
(505) 212-7470
Mailing address
44 KIVA LOOP, SANDIA PARK, NM 87047-8518
(505) 966-6909

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/27/2021
Last updated
05/27/2021
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