Individual
MONICK NICOLE CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
29516 CANVASBACK DR, SUITE 200, EASTON, MD 21601-7140
(410) 822-5007
(410) 822-5569
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
499188MD
VO MHA
MD
05
—
609550002
—
MD
Enumeration date
09/01/2009
Last updated
09/01/2009
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