Individual
BENJAMIN MARK WRASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
295 YOUTH RD, MAKANDA, IL 62958-2124
(830) 370-5160
Mailing address
295 YOUTH RD, MAKANDA, IL 62958-2124
(830) 370-5160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149029537
IL
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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