Provider Demographics
NPI:1134438708
Name:BYLAND, DAWN CAROL (LMSW)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:CAROL
Last Name:BYLAND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:DAWN
Other - Middle Name:CAROL
Other - Last Name:ISELY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:PO BOX 1349
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88062-1349
Mailing Address - Country:US
Mailing Address - Phone:575-388-4497
Mailing Address - Fax:575-534-1150
Practice Address - Street 1:315 S HUDSON ST
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-6184
Practice Address - Country:US
Practice Address - Phone:575-388-4497
Practice Address - Fax:575-534-1150
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-06113104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker