Shannon Wrage

NPI #1689388092 in Peoria, Illinois

Provider Information

NPI Number
1689388092
Entity Type
Individual
Name
Shannon Wrage
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jan 10, 2023
Last Updated
Jan 10, 2023

Practice Location

Address
507 E ARMSTRONG AVE
City
Peoria
ZIP Code
61603-3201
Phone
(309) 686-1177

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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