Individual
EILISH M CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7801
Mailing address
3200 WHITE CEDAR DR, CHESAPEAKE, VA 23323-1053
(757) 337-1818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015376
VA
1041C0700X
Clinical Social Worker
SW21170
FL
Other
Enumeration date
09/03/2019
Last updated
01/17/2024
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