Individual
JACY MARIE SHOENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2511 IMGRUND RD, NORTH AURORA, IL 60542-2120
(630) 907-6171
(630) 907-6171
Mailing address
2511 IMGRUND RD, NORTH AURORA, IL 60542-2120
(630) 907-6171
(630) 907-6171
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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