Individual
PAMELA M MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1819 11TH ST, GREAT BEND, KS 67530-4511
(785) 483-9183
Mailing address
1819 11TH ST, GREAT BEND, KS 67530-4511
(785) 483-9183
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5153
KS
1041C0700X
Clinical Social Worker
Primary
5153
KS
Other
Enumeration date
06/27/2016
Last updated
09/21/2021
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