ASHLEY MEDORA LE GRANGE

PORT ST LUCIE, FL
NPI1851814008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH12264)
Enumeration Date2017-07-19
Last Update Date2017-07-19
Business Address
ASHLEY MEDORA LE GRANGE LMHC
1801 SE HILLMOOR DR
PORT ST LUCIE, FL 34952-7553
Phone number: 772-204-2895
Mailing Address
ASHLEY MEDORA LE GRANGE LMHC
3793 SW PHEASANT RUN
PALM CITY, FL 34990-2581
Phone number: 772-263-3974