Individual
KIMBERLY WHEATON MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
552 SPRINGRIDGE RD APT C5, CLINTON, MS 39056-5631
(601) 879-4344
Mailing address
552 SPRINGRIDGE RD APT C5, CLINTON, MS 39056-5631
(601) 502-6049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7223
MS
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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