Individual
MARCI JILL SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 DEERFIELD DR, SWANSEA, IL 62226-1868
(618) 559-9076
(618) 559-9076
Mailing address
604 DEERFIELD DR, SWANSEA, IL 62226-1868
(618) 559-9076
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
134334
IL
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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