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Individual

MR. GARY LEE CONWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
8935 N MERIDIAN ST, SUITE 107, INDIANAPOLIS, IN 46260-5379
(317) 571-0170
(317) 571-2005
Mailing address
8935 N MERIDIAN ST, SUITE 107, INDIANAPOLIS, IN 46260-5379
(317) 571-0170
(317) 571-2005

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001643A
IN

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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