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Individual

CLEXTON JEROME MIDDLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
204 MILLET CIR, CANTONMENT, FL 32533-7889
(850) 261-7759
Mailing address
204 MILLET CIR, CANTONMENT, FL 32533-7889
(850) 261-7759

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
104100000X
Social Worker
FL
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
Primary
FL

Other

Enumeration date
09/10/2025
Last updated
09/10/2025
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