Individual
SHANNON NICOLE HISCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
214 BAUMAN CIR, EXTON, PA 19341-1753
(484) 353-3367
Mailing address
214 BAUMAN CIR, EXTON, PA 19341-1753
(484) 353-3367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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