Individual
MRS. DANA BULLOCK CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1715 OAK HILL RD APT 3, SOMERSET, KY 42503-5461
(606) 875-7565
Mailing address
1715 OAK HILL RD APT 3, SOMERSET, KY 42503-5461
(606) 875-7565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-1262
KY
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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