Individual
MR. JERRY JOSEPH CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6111 ELIZAN DR NW, OLYMPIA, WA 98502-9617
(415) 994-8238
Mailing address
6111 ELIZAN DR NW, OLYMPIA, WA 98502-9617
(415) 994-8238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13810
CA
Other
Enumeration date
03/21/2013
Last updated
11/22/2016
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