SHANNON WAGNER

LA CROSSE, WI
NPI1437624079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-10-10
Last Update Date2018-10-10
Business Address
SHANNON WAGNER
901 CALEDONIA ST
LA CROSSE, WI 54603-2616
Phone number: 608-785-4100
Mailing Address
SHANNON WAGNER
14301 EWING AVE S
BURNSVILLE, MN 55306-4885
Phone number:
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