Individual
MIRIAM ELSIE BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
103 WATER STREET, LANDISBURG, PA 17040-0114
(207) 659-8392
Mailing address
PO BOX 114, LANDISBURG, PA 17040-0114
(207) 659-8392
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000437
PA
106H00000X
Marriage & Family Therapist
MFC25356
CA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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