Female

Michelle L. Middleton LICSW;MSW

Clinical Social Worker in Port Orchard, WA(View on Map)

Full Name

Michelle L Middleton LICSW;MSW

NPI Number

1497466908

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/06/2022

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Washington
Washington

License Number

LW61405959
SC60890399

Contact
Information

Purpose

Mailing
Location

Address

2201 SE BASIL CT
2201 SE BASIL CT

City

Port Orchard
Port Orchard

State

WA
WA

Postal Code

98366-2308
98366-2308

Country

US
US

Telephone Number

(360) 519-4072
(360) 519-4072

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/04/2023

Provider Address

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