Individual
MRS. ELIZABETH ANNE MIDDLEBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
7 HEATHER HL, BOURBONNAIS, IL 60914-1622
(815) 823-5627
Mailing address
7 HEATHER HL, BOURBONNAIS, IL 60914-1622
(815) 823-5627
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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