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Individual

MR. EDWARD MIDDLETON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., M.DIV., LPC

Contact information

Practice address
763 NORTH BLVD, BATON ROUGE, LA 70802-5725
(225) 387-2287
Mailing address
22160 TALBOT DR, PLAQUEMINE, LA 70764-5214
(225) 573-6982

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
33888
LA

Other

Enumeration date
03/21/2007
Last updated
07/08/2007
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