Individual
CASSANDRA MACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(161) 887-7442
Mailing address
448 WYLIE DR, NORMAL, IL 61761-5405
(618) 512-1803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
150.112289
IL
Other
Enumeration date
11/14/2022
Last updated
11/14/2023
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