Individual
LUCINDA R BRIESEMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3229 S RIVERSIDE DR, BELOIT, WI 53511-1530
(608) 856-4296
Mailing address
619 RIVER ST, BELLEVILLE, WI 53508-9188
(608) 424-9100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
131139-121
WI
1041C0700X
Clinical Social Worker
Primary
9429-123
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
04/14/2022
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