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1275090748
ASHLEY LANE
FORT PIERCE, FL
NPI
1275090748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-21
Last Update Date
2019-05-24
Business Address
ASHLEY LANE
1302 N LAWNWOOD CIR
FORT PIERCE, FL 34950-4806
Phone number: 772-468-6800
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Mailing Address
ASHLEY LANE
1302 N LAWNWOOD CIR
FORT PIERCE, FL 34950-4806
Phone number: 772-468-6800
Copy
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