SHANNON WISCHUSEN

NEW YORK, NY
NPI1801427133
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2020-01-27
Last Update Date2020-01-27
Business Address
SHANNON WISCHUSEN
261 BROOME ST APT 2H
NEW YORK, NY 10002-4507
Phone number: 908-347-7055
Mailing Address
SHANNON WISCHUSEN
261 BROOME ST APT 2H
NEW YORK, NY 10002-4507
Phone number: 908-347-7055
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