Individual
BETTY CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 ACADEMY ST, NEW YORK, NY 10034-5003
(212) 942-0043
Mailing address
33-63 SEDWICK AVE, APT # 1A, BRONX, NY 10463
(212) 942-0043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
073484
NY
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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