Most Relevant Information
Provider Data
| NPI Number: | 1003374018 |
| Provider Name: | MIRIAM ELSIE BRISCOE MFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | MFC25356 |
Most Important Dates
| Enumeration Date: | 03/08/2019 |
| Last Updated: | 03/08/2019 |
Provider Practice Location
103 WATER STREET
LANDISBURG
PA
170400114
Practice Location Phone/Fax
| Phone: | 2076598392 |
| Fax: |
Provider Mailing Location
PO BOX 114
LANDISBURG
PA
170400114
Provider Mailing Phone/Fax
| Phone: | 2076598392 |
| Fax: |