Individual
MARIO VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1731 ROYS WAY, SANTA FE, NM 87507-8813
(505) 471-4238
Mailing address
1731 ROYS WAY, SANTA FE, NM 87507-8813
(505) 471-4238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-2014
NM
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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