Individual
EVAN RICHARD MIDDAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2711 N MILDRED AVE APT 2B, CHICAGO, IL 60614-2771
(239) 851-5661
Mailing address
2711 N MILDRED AVE APT 2B, CHICAGO, IL 60614-2771
(239) 851-5661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021545
IL
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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