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Individual

MR. ROBERT FRANCIS CONWAY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2924 KNIGHT ST STE 319, SHREVEPORT, LA 71105-2415
(318) 820-2073
Mailing address
PO BOX 5877, SHREVEPORT, LA 71135-5877

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7389
LA
171M00000X
Case Manager/Care Coordinator
7389
LA

Other

Enumeration date
06/14/2018
Last updated
04/19/2024
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