Individual
JANEASE L. TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPA
Contact information
Practice address
750 N MAIN ST, MANSFIELD, TX 76063-2595
(501) 472-6000
Mailing address
750 N MAIN ST, MANSFIELD, TX 76063-2595
(501) 472-6000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
10/05/2018
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