Individual
DEBORAH M MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 W. TRUMAN, 101, JEFFERSON CITY, MO 65109-5861
(573) 864-7868
(573) 864-7868
Mailing address
1424 BOYD LN, COLUMBIA, MO 65202-2813
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
002265
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493615124
—
MO
Enumeration date
12/05/2006
Last updated
12/21/2010
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