Jillicia Leeann Wagner
Jillicia Leeann Wagner is a Peer Specialist in Port Huron, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3111 Electric AvePort Huron, MI 48060-8127
Phone: (810) 985-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1629839022 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 22, 2024 |
| Last updated in NPPES | January 22, 2024 |
| Certification date | January 22, 2024 |
Other providers in Port Huron
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Melissa Kay Taylor
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Miss. Hilary Lyn Tesluck
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Kimberly Sue Thomas, PRC
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MS. Lisa Tippit
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Michelle Lee Weber
3111 Electric Ave, Port Huron, MI 48060-8127 · (810) 985-8900
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Carrie Ann Yochum
3111 Electric Ave, Port Huron, MI 48060-8127 · (810) 985-8900