Individual
MR. ANGELO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
612 N PASEO DE ONATE, ESPANOLA, NM 87531
(505) 753-3303
Mailing address
P.O. BOX 520, ESPANOLA, NM 87532
(505) 753-2203
(505) 747-1881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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