Individual
MR. PRESTON JUDE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Mailing address
829 E BYERS AVE, OWENSBORO, KY 42303-8820
(270) 314-7851
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9186
KY
1041C0700X
Clinical Social Worker
Primary
257831
KY
Other
Enumeration date
12/06/2019
Last updated
04/20/2023
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