Individual
MS. M ELIZABETH BRIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LP
Contact information
Practice address
1027 7TH STREET NW, SUITE 212, ROCHESTER, MN 55901
(507) 252-1802
(507) 875-2810
Mailing address
1027 7TH STREET NW, SUITE 212, ROCHESTER, MN 55901
(507) 252-1802
(507) 875-2810
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1201
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3777BR
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/06/2006
Last updated
07/08/2007
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