Shannon Wagner
NPI #1790520302 in Roscoe, Illinois
Provider Information
- NPI Number
- 1790520302
- Entity Type
- Individual
- Name
- Shannon Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 26, 2024
- Last Updated
- Jul 9, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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