Individual
KIM CONAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
REGENERATIONS COUNSELING SERVICES, 1421 S. CANTON STREET, BALTIMORE, MD 21227
(443) 873-2520
Mailing address
3847 LOCH RAVEN BLVD, BALTIMORE, MD 21218-2107
(410) 419-2349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC5368
MD
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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