Individual
MRS. HOLLY ROGERS BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
65 DUKE STREET, SUITE 206, PRINCE FREDERICK, MD 20678
(410) 535-5425
(410) 535-5489
Mailing address
PO BOX 555, PRINCE FREDERICK, MD 20678-0555
(410) 535-5425
(410) 535-5489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09134
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2641
GHMSI & FEDERAL BLUE CROS
MD
01
—
363551
UNITED HEALTHCARE
MD
01
—
QC93
CAREFIRST BLUE CROSS BLUE
MD
Enumeration date
01/22/2007
Last updated
07/08/2007
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