Individual
MS. CARLA J CRAVENS MANSINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1801 WOODFIELD DR, SAVOY, IL 61874-9505
(217) 722-1780
Mailing address
1801 WOODFIELD DR, SAVOY, IL 61874-9505
(217) 722-1780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149-007919
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL1313003
MEDICARE
IL
Enumeration date
12/21/2006
Last updated
03/03/2019
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