Individual
MARINO VIGIL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1615 OJO CT., FARMINGTON, NM 87401
(505) 564-4804
Mailing address
PO BOX 5190, FARMINGTON, NM 87499-5190
(505) 327-7218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0067
NM
Other
Enumeration date
05/05/2016
Last updated
04/13/2022
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