Individual
RAVEN PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 224, MILTON, LA 70558-0224
(337) 366-1606
Mailing address
208 GABLE CREST DR, LAFAYETTE, LA 70508-7648
(337) 371-9002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904014135
VA
1041C0700X
Clinical Social Worker
101985
CA
1041C0700X
Clinical Social Worker
Primary
11795
LA
1041C0700X
Clinical Social Worker
12394-C
NV
1041C0700X
Clinical Social Worker
256942
KY
1041C0700X
Clinical Social Worker
44SC06529900
NJ
1041C0700X
Clinical Social Worker
60813
TX
1041C0700X
Clinical Social Worker
CSW.09928117
CO
1041C0700X
Clinical Social Worker
CSW005810
GA
1041C0700X
Clinical Social Worker
L14936
OR
1041C0700X
Clinical Social Worker
LCSW-5467-0
HI
1041C0700X
Clinical Social Worker
LCSW14213435-3501
UT
1041C0700X
Clinical Social Worker
LICSW1140116
MA
1041C0700X
Clinical Social Worker
LW61528132
WA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
04/27/2026
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