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MRS. LISA M BRICE LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1548715329
Individual Registrant:MRS. LISA M BRICE LCSW
Gender: F
Sole Proprietor
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: --
Tel: 904-797-5680 Fax: --
Contact information for business:
44 LEAVER DR PALM COAST, FL 32137-9749 US
Tel: 386-597-7724 Fax: --
Tel: 386-597-7724 Fax: --
Registration Information:
NPI: 1548715329
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | FL | SW13171 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
