Individual
VYVIAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
901 W HICKORY ST, DEMING, NM 88030-4046
(575) 546-2174
Mailing address
901 W HICKORY ST, DEMING, NM 88030-4046
(575) 546-2174
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
-0118SWB-20230
NM
104100000X
Social Worker
Primary
X11-346
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHPK2206112
—
NM
Enumeration date
07/03/2021
Last updated
05/12/2023
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