Individual
LAURA LYNN CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
539 MAPLE ST, GEORGETOWN, KY 40324-1943
(502) 229-6057
Mailing address
106 TALL TREES CT, FRANKFORT, KY 40601-9719
(502) 229-6057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
265884
KY
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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