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MRS. LISA M BRICE LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1548715329

Individual Registrant:
MRS. LISA M BRICE LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
248 SOUTHPARK CIR E  SAINT AUGUSTINE, FL 32086-5137 US
Tel: 904-797-5680  Fax: --

Contact information for business:
44 LEAVER DR  PALM COAST, FL 32137-9749 US
Tel: 386-597-7724  Fax: --

Registration Information:
NPI: 1548715329
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
FLSW13171

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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