Individual
MS. ANGELA D TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E CENTERTON BLVD, CENTERTON, AR 72719-9240
(479) 575-9771
Mailing address
814 TYLER ST, CENTERTON, AR 72719-7800
(479) 799-1393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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