Individual
BETHANY NICOLE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 MARTIN ST, WINSTON SALEM, NC 27103
(336) 448-9279
Mailing address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 878-6000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9344
NC
390200000X
Student in an Organized Health Care Education/Training Program
A9344
NC
Other
Enumeration date
09/05/2013
Last updated
05/16/2018
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