Individual
MARY EDITH CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
900 N LIBERTY ST STE 206, BOISE, ID 83704-8729
(208) 367-5597
Mailing address
900 N LIBERTY ST STE 206, BOISE, ID 83704-8729
(208) 367-5597
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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