Individual
GRACE VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Mailing address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW 218
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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