Individual
MS. AVA DASYA RASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10555 MONTGOMERY BLVD NE BLDG 2, ALBUQUERQUE, NM 87111-3857
(505) 503-7946
Mailing address
PO BOX 65089, ALBUQUERQUE, NM 87193-5089
(505) 467-9122
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10563
NM
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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