Individual
ROCKELLE WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
489 TANGLEWOOD DR, GURNEE, IL 60031
(224) 410-1239
Mailing address
489 TANGLEWOOD DR, GURNEE, IL 60031-3431
(224) 410-1239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/21/2018
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