Individual
CATHY L CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
563 BIELENBERG DR, SUITE 145, WOODBURY, MN 55125-4425
(651) 829-6607
Mailing address
563 BIELENBERG DR, SUITE 145, WOODBURY, MN 55125-4425
(651) 829-6607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7184
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451057700
—
MN
Enumeration date
08/20/2006
Last updated
02/16/2011
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