Individual
ASHLEY BROOKE MIDKIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2139 W STATE ROAD 434 STE 102, LONGWOOD, FL 32779-5019
(407) 789-2673
Mailing address
2135 W STATE ROAD 434, LONGWOOD, FL 32779-4983
(407) 789-2673
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW12303
FL
1041C0700X
Clinical Social Worker
Primary
SW12303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017254000
—
FL
Enumeration date
01/13/2015
Last updated
06/16/2022
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