Individual
ANNA VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1510 S SOLANO DR STE B, LAS CRUCES, NM 88001-4287
(575) 636-7117
Mailing address
111 CADENA ST, MESQUITE, NM 88048-9348
(575) 636-7117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M10080
NM
1041C0700X
Clinical Social Worker
Primary
C12017
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03775046
—
NM
Enumeration date
09/01/2017
Last updated
01/06/2026
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