Individual
ASHLEY WALTON LEMAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1340 BROAD AVE, SUITE 450, GULFPORT, MS 39501-2404
(228) 867-5006
(228) 867-5079
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 864-8454
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
50862
MS
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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