Vicente Avila Miramontes, LBSW

NPI #1114569605 in Santa Fe, New Mexico

Provider Information

NPI Number: 1114569605
Entity Type: Individual
Name: Vicente Avila Miramontes, LBSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - School
Credential: LBSW
Enumeration Date: Oct 16, 2019
Last Updated: Oct 16, 2019

Practice Location

Address: 13A SAN MARCOS LOOP
City: Santa Fe
State: New Mexico
ZIP Code: 87508-7083
Phone: (505) 986-4007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X	Primary

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