Individual
MRS. AMY CATHERINE MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LCSW
Contact information
Practice address
1315 W MAIN ST, WATERTOWN, WI 53094-3564
(920) 261-4100
(920) 261-8801
Mailing address
1315 W MAIN ST, WATERTOWN, WI 53094-3564
(920) 261-4100
(920) 261-8801
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2463123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39655900
—
WI
Enumeration date
12/09/2005
Last updated
03/23/2011
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