Individual
THOMAS J CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADT
Contact information
Practice address
112 E PATAPSCO AVE, BALTIMORE, MD 21225-1745
(667) 260-2640
Mailing address
1115 LEONARD DR, GLEN BURNIE, MD 21060-8236
(443) 875-1718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1712
MD
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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