Individual
EBONY NICOLE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
900 BESTGATE RD STE 210, ANNAPOLIS, MD 21401-7922
(717) 339-8338
Mailing address
12801 LIBERTYS DELIGHT DR, BOWIE, MD 20720-6351
(717) 339-8338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
26389
MD
104100000X
Social Worker
Primary
26389
MD
Other
Enumeration date
10/19/2020
Last updated
08/13/2024
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