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Individual
CICELY ANDREE CONWAY
Active
Individual
CICELY ANDREE CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
091.0134002
VT
172M00000X
Mechanotherapist
MA60130160
WA
Other
Enumeration date
09/29/2010
Last updated
05/09/2018
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