Individual
EMILY MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCWS, MSW, QMHP
Contact information
Practice address
101 OLIVER ST, VIENNA, IL 62995-1660
(618) 658-2611
(618) 658-2501
Mailing address
101 OLIVER ST, VIENNA, IL 62995-1660
(618) 658-2611
(618) 658-2501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/01/2017
Last updated
03/10/2025
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