Individual
CARRIE LYNN VINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
202 S BENTLEY ST, MARION, IL 62959-1908
(855) 608-3560
(618) 997-6489
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 326-2772
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.024306
IL
Other
Enumeration date
05/11/2022
Last updated
11/07/2025
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