Individual
FAITH CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4835 MANHATTAN DR, ROCKFORD, IL 61108-2265
(815) 520-2303
Mailing address
4835 MANHATTAN DR, ROCKFORD, IL 61108-2265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.114224
IL
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2023
Last updated
11/06/2024
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