Individual
MRS. SONJA L MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
358 WILDWOOD LN, LUGOFF, SC 29078-9096
(803) 420-6723
Mailing address
358 WILDWOOD LN, LUGOFF, SC 29078-9096
(803) 420-6723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12468
SC
1041C0700X
Clinical Social Worker
1788-C
AR
Other
Enumeration date
04/17/2007
Last updated
03/29/2023
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