Individual
JUDY NICOLE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
1101 EBENEZER RD, CINCINNATI, OH 45233-4846
(513) 824-1302
Mailing address
1101 EBENEZER RD, CINCINNATI, OH 45233-4846
(513) 824-1302
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.004415
OH
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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