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Individual

CASEY LYNN SPANRAFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, CADC, LCSW

Contact information

Practice address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 877-4420
Mailing address
1408 SANGAMON DR, APT B, BELLEVILLE, IL 62221-5777

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
149.016718
IL

Other

Enumeration date
05/31/2012
Last updated
11/14/2019
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