SearchGeorgia1041C0700X

Raven Traylor, LCSW

NPI 1467919068 · on the registry since 2019

Practice

Address
1016 Mandalay Ct Sw
Lilburn, GA 30047
Phone
(318) 267-9945

Additional practice sites

  • 806 N 31st St Ste D, Monroe, LA

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia