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Individual
MR. PRESTON JUDE MIDDLETON
Active
Individual
MR. PRESTON JUDE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9186
KY
1041C0700X
Clinical Social Worker
Primary
257831
KY
Other
Enumeration date
12/06/2019
Last updated
04/20/2023
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