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1003570615
MATTHEW M MIDKIFF
JOHNSON CITY, TN
NPI
1003570615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: TN 5599)
Enumeration Date
2021-10-29
Last Update Date
2023-01-20
Business Address
MATTHEW M MIDKIFF LPC, MHSP
109 W WATAUGA AVE
JOHNSON CITY, TN 37604-5621
Phone number: 423-232-2600
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Mailing Address
MATTHEW M MIDKIFF LPC, MHSP
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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