Individual
CULLEN MANSFIELD SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
70 WOODFIN PL, ASHEVILLE, NC 28801-2463
(773) 680-4504
Mailing address
18 NORTH ST, ASHEVILLE, NC 28801-1155
(773) 680-4504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CO10547
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149-012229
STATE LICENSE
IL
Enumeration date
08/15/2007
Last updated
12/04/2017
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