CHANTELLE DEITRICH

TAOS, NM
NPI1104544386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2022-08-15
Last Update Date2023-02-13
Business Address
CHANTELLE DEITRICH
105 BERTHA RD STE B
TAOS, NM 87571-7148
Phone number: 575-758-4297
Mailing Address
CHANTELLE DEITRICH
422 CAMINO DE LA MERCED
TAOS, NM 87571-5285
Phone number:
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