Individual
MELISSA LAUREN BRISBANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
650 PENNSYLVANIA AVE SE, SUITE 242, WASHINGTON, DC 20003-4318
(202) 550-6406
Mailing address
814 5TH ST NE, APT 1, WASHINGTON, DC 20002-4322
(202) 550-6406
(202) 318-1289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078615
DC
Other
Enumeration date
11/04/2008
Last updated
01/22/2010
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