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1548715329
LISA M BRICE
SAINT AUGUSTINE, FL
NPI
1548715329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL SW13171)
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
MRS. LISA M BRICE LCSW
248 SOUTHPARK CIR E
SAINT AUGUSTINE, FL 32086-5137
Phone number: 904-797-5680
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Mailing Address
MRS. LISA M BRICE LCSW
44 LEAVER DR
PALM COAST, FL 32137-9749
Phone number: 386-597-7724
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