Individual
DANIELLE MARIE CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
900 BEASLEY ST, LEXINGTON, KY 40509-4266
(859) 254-1035
Mailing address
900 BEASLEY ST, LEXINGTON, KY 40509-4266
(859) 254-1035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27-0795565
—
KY
Enumeration date
08/19/2015
Last updated
08/19/2015
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