Individual
MISS INGRID MARIA MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
950 E LOGAN AVE, SALT LAKE CITY, UT 84105-2330
(808) 358-7363
Mailing address
950 E LOGAN AVE, SALT LAKE CITY, UT 84105-2330
(808) 358-7363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904010155
VA
1041C0700X
Clinical Social Worker
3636
HI
1041C0700X
Clinical Social Worker
Primary
77519
CA
Other
Enumeration date
08/02/2010
Last updated
07/23/2025
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