Individual
DONALD THOMAS CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 MAIN ST # 230, NORTH MYRTLE BEACH, SC 29582-3030
(813) 763-5469
(813) 441-8362
Mailing address
16748 ROUGH AND READY RD, FAIR BLUFF, NC 28439-9556
(843) 356-8023
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-438101
SC
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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