Individual
ISIDRO VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8205 SPAIN RD NE STE 106, ALBUQUERQUE, NM 87109-3155
(505) 856-0300
Mailing address
69 HORSESHOE LOOP, EDGEWOOD, NM 87015-9710
(505) 440-7499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
X-10416
NM
1041C0700X
Clinical Social Worker
Primary
C-10540
NM
Other
Enumeration date
07/17/2014
Last updated
08/28/2025
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