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1215673397
CARRIE LYNN VINE
CARBONDALE, IL
NPI
1215673397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.024306)
Enumeration Date
2022-05-11
Last Update Date
2024-01-15
Business Address
CARRIE LYNN VINE LCSW
29 VIEW VALLEY DR
CARBONDALE, IL 62903-8257
Phone number: 915-217-8288
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Mailing Address
CARRIE LYNN VINE LCSW
29 VIEW VALLEY DR
CARBONDALE, IL 62903-8257
Phone number: 915-217-8288
Copy
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