Individual
KIMBER SUZANNE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1176 T J JACKSON DR STE D, FALLING WATERS, WV 25419-4683
(304) 263-6776
Mailing address
5635 MOUNT BRIAR RD, KEEDYSVILLE, MD 21756-1529
(239) 222-0339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW12327
FL
1041C0700X
Clinical Social Worker
ISW12327
FL
Other
Enumeration date
05/22/2019
Last updated
03/03/2024
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