Individual
MR. STEVEN MIDGETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3227 AUDUBON DR, LAUREL, MS 39440-1422
(601) 425-9322
(601) 584-4053
Mailing address
PO BOX 113, LAUREL, MS 39441-0113
(601) 425-9322
(601) 584-4053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
965
MS
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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