Individual
MS. GERALYN MARIE CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
WYTHEVILLE CBOC, 100 PEPPERS FERRY RD, WYTHEVILLE, VA 24243-3121
(540) 674-1377
(540) 674-1351
Mailing address
165 PEPPERS FERRY RD, WYTHEVILLE CBOC, WYTHEVILLE, VA 24382
(276) 223-5449
(276) 223-5455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904007099
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144456161
—
VA
Enumeration date
06/04/2009
Last updated
04/03/2014
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