| Tracey Anne Middleton | |
|
660 Kenilworth Dr Ste 102 Towson MD 21204-2353 | |
| (443) 386-0443 | |
| Not Available |
| Full Name | Tracey Anne Middleton |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 660 Kenilworth Dr Ste 102, Towson, Maryland |
| Authorized Official Name and Position | Tracey Anne Middleton (OWNER) |
| Authorized Official Contact | 4433860443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Anne Middleton 660 Kenilworth Dr Ste 102 Towson MD 21204-2353 Ph: (443) 386-0443 | Tracey Anne Middleton 660 Kenilworth Dr Ste 102 Towson MD 21204-2353 Ph: (443) 386-0443 |
| NPI Number | 1003374687 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 03/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003374687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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