Individual
GREGORY VINENT LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8409 LAS CAMAS RD NE, ALBUQUERQUE, NM 87111-2338
(505) 288-9646
Mailing address
8409 LAS CAMAS RD NE, ALBUQUERQUE, NM 87111-2338
(505) 288-9646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10107
NM
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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