Individual
MRS. ANDREA LENORE MIDDAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 INGLEWOOD, INGLESIDE, TX 78362-4845
(361) 658-0608
Mailing address
132 INGLEWOOD, INGLESIDE, TX 78362-4845
(361) 658-0608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
77153
TX
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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