Individual
SAMANTHA VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2921 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-2865
(505) 888-9769
Mailing address
2300 DIAMOND MESA TRL SW, ALBUQUERQUE, NM 87121-3602
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-10650
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/23/2018
Last updated
07/24/2019
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