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Organization
TRACEY ANNE MIDDLETON
Active
Organization
TRACEY ANNE MIDDLETON
Active
Other names
Vision Driven Life Coaching
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY ANNE MIDDLETON LCSW-C (OWNER)
(443) 386-0443
Entity
Organization
Contact information
Practice address
660 KENILWORTH DR STE 102, TOWSON, MD 21204-2353
(443) 386-0443
Mailing address
660 KENILWORTH DR STE 102, TOWSON, MD 21204-2353
(443) 386-0443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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