Individual
MIGUEL VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
101 N 2ND ST, RATON, NM 87740-3803
(575) 445-7090
(575) 445-7663
Mailing address
101 N 2ND ST, RATON, NM 87740-3803
(575) 445-7090
(575) 445-7663
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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