Individual
MRS. TRACY DONILELLE CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1521 MERRILL DR STE D220, LITTLE ROCK, AR 72211-1654
(501) 660-6893
Mailing address
PO BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4897-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181891795
—
AR
Enumeration date
06/03/2010
Last updated
12/16/2022
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