Individual
JAY EDWARD CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
12 MAIN ST, SUITE 201, TOPSHAM, ME 04086
(207) 798-4800
Mailing address
12 MAIN ST, SUITE 201, TOPSHAM, ME 04086
(207) 798-4800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1164
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017167
ANTHEM STAR #
ME
01
—
5799251
AETNA
ME
Enumeration date
07/26/2006
Last updated
03/14/2013
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