Individual
LEE ANN GRIGSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
3270 SUNTREE BLVD, SUITE 100, MELBOURNE, FL 32940-7530
(321) 264-4062
(321) 264-4060
Mailing address
3270 SUNTREE BLVD, SUITE 100, MELBOURNE, FL 32940-7530
(321) 264-4062
(321) 264-4060
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7602758
—
FL
Enumeration date
03/28/2007
Last updated
07/09/2007
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