Individual
BALENDA LESHELL TOWOLAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5305 MCNUTT RD STE 206, SANTA TERESA, NM 88008-9605
(575) 882-5100
(575) 882-1151
Mailing address
PO BOX 2671, ANTHONY, NM 88021-2671
(575) 882-5100
(575) 882-1151
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0781
NM
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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