Individual
LISA CATHLEEN BRIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3394 MCKELVEY RD, BRIDGETON, MO 63044-2531
(314) 209-0900
(314) 209-0912
Mailing address
3394 MCKELVEY RD, BRIDGETON, MO 63044-2531
(314) 209-0900
(314) 209-0912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003026588
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184336
BLUE CROSS BLUE SHIELD
MO
Enumeration date
12/15/2006
Last updated
07/08/2007
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