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Individual

ERNEST EARL MIDDLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LPC

Contact information

Practice address
8665 SW CARRARA WAY, PORT SAINT LUCIE, FL 34987-8704
(816) 678-1124
Mailing address
8665 SW CARRARA WAY, PORT SAINT LUCIE, FL 34987-8704
(816) 678-1124

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/21/2021
Last updated
10/21/2021
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