Organization
LIFESONG FOR GROWTH AND WELLNESS LLC
Active
Organization
LIFESONG FOR GROWTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH MIDDLETON MA, LCSW (PARTNER)
(573) 644-7909
Entity
Organization
Contact information
Practice address
3401 W TRUMAN BLVD, STE 100, JEFFERSON CITY, MO 65109-5752
(573) 644-7909
(573) 644-7908
Mailing address
3401 W TRUMAN BLVD, STE 100, JEFFERSON CITY, MO 65109-5752
(573) 644-7909
(573) 644-7908
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/04/2010
Last updated
05/02/2014
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