Individual
TIFFANY HARIKA MIDDAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 KINGSWOOD DR, CULLODEN, WV 25510-7236
(304) 421-7421
Mailing address
89 KINGSWOOD DR, CULLODEN, WV 25510-7236
(304) 421-7421
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
04/03/2026
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