Individual
MICHELLE L MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW;MSW
Contact information
Practice address
2201 SE BASIL CT, PORT ORCHARD, WA 98366-2308
(360) 519-4072
Mailing address
2201 SE BASIL CT, PORT ORCHARD, WA 98366-2308
(360) 519-4072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61405959
WA
1041C0700X
Clinical Social Worker
SC60890399
WA
Other
Enumeration date
12/06/2022
Last updated
10/04/2023
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