Individual
MRS. VICKY MONICA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASSOCIATE SOCIAL WOR
Contact information
Practice address
1005 S MONROE, TUCUMCARI, NM 88401
(505) 461-6122
(505) 461-1169
Mailing address
624 E HEMAN, TUCUMCARI, NM 88401
(505) 461-4810
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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