SHANNON WAGNER

ROSCOE, IL
NPI1790520302
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178019380)
Enumeration Date2024-06-26
Last Update Date2024-07-09
Business Address
SHANNON WAGNER
11447 2ND ST STE 9A
ROSCOE, IL 61073-9522
Phone number: 815-601-4673
Mailing Address
SHANNON WAGNER
515 PIN OAK RD
ROCKTON, IL 61072-8023
Phone number: 815-997-3829
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