Individual
DR. MARIE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1722 DEFOE ST, MISSOULA, MT 59802-1915
(406) 370-9260
Mailing address
2545 1/2 PARK ST, MISSOULA, MT 59801-8052
(406) 370-9260
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20883
MT
Other
Enumeration date
10/05/2016
Last updated
05/20/2019
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