Individual
CHINYELU CHIMEZIE OBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
535 S. MIRANDA ST., LAS CRUCES, NM 88005
(575) 647-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-10055
NM
1041C0700X
Clinical Social Worker
Primary
C-11902
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61830721
—
NM
Enumeration date
08/29/2017
Last updated
10/13/2021
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