Individual
PROF. CYNTHIA L BRIZIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW ACSW
Contact information
Practice address
4770 COVERT AVE, SUITE 200, EVANSVILLE, IN 47714-5617
(812) 459-3401
Mailing address
8822 WELLTON DR, EVANSVILLE, IN 47725-7514
(812) 459-3401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005233A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494756
ANTHEM
IN
05
—
100240880
—
IN
01
—
34005233
LICENSE
IN
Enumeration date
10/17/2006
Last updated
07/09/2012
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