Individual
LEANNE CRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00714
RI
1041C0700X
Clinical Social Worker
Primary
ISW03060
RI
Other
Enumeration date
01/16/2018
Last updated
12/10/2019
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