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Individual

CAROLANN ITHICA CONWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
116 N 22ND ST, NEWARK, OH 43055-2755
(740) 817-0513
Mailing address
1067 N 21ST ST # 202, NEWARK, OH 43055-2956
(740) 817-0513

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
10/18/2023
Last updated
10/18/2023
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