Individual
HOLLY LYNN CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2651 W WASHINGTON BLVD, CHICAGO, IL 60612-2055
(773) 534-6640
Mailing address
10510 S SEELEY AVE, CHICAGO, IL 60643-2633
(773) 239-0305
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
IL
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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