AMBER KRYSTENE SHAPPARD

ROCKFORD, IL
NPI1104489525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2019-04-22
Last Update Date2019-04-22
Business Address
AMBER KRYSTENE SHAPPARD
1601 UNIVERSITY DR
ROCKFORD, IL 61107-5317
Phone number: 815-391-1000
Mailing Address
AMBER KRYSTENE SHAPPARD
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: