SHANNON VAVRUSA

ANTIOCH, IL
NPI1285446708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.028640)
Enumeration Date2025-01-22
Last Update Date2025-01-22
Business Address
SHANNON VAVRUSA LCSW
311 W DEPOT ST
ANTIOCH, IL 60002-1500
Phone number: 331-725-1190
Mailing Address
SHANNON VAVRUSA LCSW
W145 LILAC AVE
GENOA CITY, WI 53128-1986
Phone number: 847-217-7811
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