Individual
VERNITA SHAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N MAIN ST, HARRISBURG, IL 62946-1065
(312) 550-0811
Mailing address
1001 N MAIN ST, HARRISBURG, IL 62946-1065
(312) 550-0811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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