Individual
ANDREA MIDDLESWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12970 W BLUEMOUND RD STE 200, ELM GROVE, WI 53122-2607
(252) 780-1020
Mailing address
12970 W BLUEMOUND RD STE 200, ELM GROVE, WI 53122-2607
(262) 780-1020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2228-226
WI
Other
Enumeration date
11/29/2014
Last updated
02/27/2019
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