Individual
MS. INA TOWNLEY BAWAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MFA
Contact information
Practice address
3901 GEORGIA ST NE, STE A4, ALBUQUERQUE, NM 87110-1391
(505) 803-7150
(505) 293-0617
Mailing address
12820 THOMTE RD NE, ALBUQUERQUE, NM 87112-6808
(505) 293-2768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08584
NM
Other
Enumeration date
06/04/2014
Last updated
02/29/2016
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