Melissa Lauren Brisbane, L.I.C.S.W.
Social Worker, Clinical in Washington, DC. Individual provider (NPI-1).
NPI number1760636724
StatusActive
Last updated in NPPESJan 22, 2010
Details
- NPI
- 1760636724
- Entity type
- Individual (NPI-1)
- Name
- Melissa Lauren Brisbane
- Credential
- L.I.C.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2008
- Last updated
- Jan 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LC50078615 | DC | Yes |
Practice location
650 Pennsylvania Ave SeSuite 242
Washington, DC 20003-4318
Phone 202-550-6406
Mailing address
814 5th St NeApt 1
Washington, DC 20002-4322
Phone 202-550-6406 · Fax 202-318-1289
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