Individual
AUDREY CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CAC-AD
Contact information
Practice address
122 LANGLEY RD N, GLEN BURNIE, MD 21060-6531
(410) 222-6703
Mailing address
122 LANGLEY RD N, GLEN BURNIE, MD 21060-6531
(410) 222-6703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0114
MD
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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