Individual
LINDSEY CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PIER 1 STE 204, ASTORIA, OR 97103-6328
(971) 257-9053
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
L11603
OR
Other
Enumeration date
07/20/2020
Last updated
01/03/2024
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