SAMANTHA WAGNER

ROCKFORD, IL
NPI1124524608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2018-04-03
Last Update Date2018-04-03
Business Address
SAMANTHA WAGNER
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-332-8003
Mailing Address
SAMANTHA WAGNER
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-387-5600
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