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Individual

MONICA T VILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2020 7TH ST, LAS VEGAS, NM 87701-4958
(505) 330-0830
Mailing address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0576
NM
1041S0200X
School Social Worker
M-08131
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74924206
NM
Enumeration date
11/01/2019
Last updated
11/16/2023
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