Individual
KATHLEEN CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BERNARD ROAD, ROCKY MOUNT, VA 24151
(540) 483-5138
Mailing address
244 ROYAL ESTATES BLVD, WIRTZ, VA 24184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000631
VA
Other
Enumeration date
11/11/2017
Last updated
11/11/2017
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