TAJUAN CONWAY

WAUKESHA, WI
NPI1508243387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17256-130)
Enumeration Date2015-04-30
Last Update Date2017-12-01
Business Address
TAJUAN CONWAY CSAC
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
Mailing Address
TAJUAN CONWAY CSAC
4647 N 70TH ST
MILWAUKEE, WI 53218-4848
Phone number: