Individual
MELISSA MIDDLEBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10 CAMBRIDGE AVE, MORRISVILLE, NY 13408
(315) 684-1172
Mailing address
165 MAIN ST, STE A, CORTLAND, NY 13045-3049
(607) 753-0234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
107839
NY
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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