Davidson, Raven

Davidson, Raven is an sole proprietor health care provider with primary practice located at 2215 Exchange Pl Se , Conyers GA 30013-6723. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Davidson, Raven can be contacted via phone (770) 679-0586.

Contact Information

Primary practice address
2215 Exchange Pl Se Conyers GA 30013-6723
Fax: (770) 285-6325
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1346904976
LBN Legal business name Davidson, Raven
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2021
Last updated Oct 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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