Individual
IVANA BAYONA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 TRINITY ST STOP A, AUSTIN, TX 78712-1766
(915) 269-0843
Mailing address
1601 TRINITY ST STOP A, AUSTIN, TX 78712-1766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111347
TX
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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