Individual
EDWIN VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4200 MEADOWLARK LN SE STE 4A, RIO RANCHO, NM 87124-1050
(505) 218-6383
(505) 636-6338
Mailing address
2200 GRANDE BLVD SE STE B, RIO RANCHO, NM 87124-1695
(505) 218-6383
(505) 636-6338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-09073
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05879337
—
NM
Enumeration date
04/26/2019
Last updated
08/16/2023
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