Individual
BERNICE FAYE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
51 BOSQUE RD, ALGODONES, NM 87001-8014
(505) 506-0009
Mailing address
306 VILLAGE LANE, SAN FELIPE PUEBLO, NM 87001
(505) 504-8840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0053
NM
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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