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Individual

MRS. SHANNON MARIE BERNCIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CRC, LPC

Contact information

Practice address
117 VIP DR STE 310, WEXFORD, PA 15090-6936
(724) 471-4006
Mailing address
309 WESTCHESTER CMNS, WEXFORD, PA 15090-9681
(412) 439-2357

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC009452
PA

Other

Enumeration date
10/22/2017
Last updated
01/08/2018
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