Individual
JULIANNE MIDKIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 BUSINESS LOOP 70 W STE 221, COLUMBIA, MO 65203-2500
(573) 875-2159
(573) 449-9540
Mailing address
601 BUSINESS LOOP 70 W STE 221, COLUMBIA, MO 65203-2500
(573) 875-2159
(573) 449-9540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW002806
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158905
ANTHAMBLUECROSS
MO
01
—
SW002806
SOCIAL WORK LICENSE
MO
Enumeration date
02/05/2007
Last updated
07/08/2007
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