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Individual

DR. ABRIELLE D CONWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
112 ROBERTS RD UNIT 4, CAMPBELLSVILLE, KY 42718-1593
(238) 439-8900
Mailing address
13 SE 21ST PL, CAPE CORAL, FL 33990-1437
(239) 439-8900
(888) 975-1981

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810004987
VA
103TC0700X
Clinical Psychologist
Primary
130473
KY
103TC0700X
Clinical Psychologist
1779
KY

Other

Enumeration date
05/08/2014
Last updated
11/28/2022
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