Individual
RAVEN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 EXCHANGE PL SE, CONYERS, GA 30013-6723
(770) 679-0586
(770) 285-6325
Mailing address
5947 SHERRIE LN, POWDER SPRINGS, GA 30127-3439
(404) 834-2287
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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