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1053695684
SUE GAIL MIDDLETON
PROVO, UT
NPI
1053695684
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Other Name
SUE GAIL BURCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 139789-3501)
Enumeration Date
2011-09-30
Last Update Date
2011-09-30
Business Address
Dr. SUE GAIL MIDDLETON PhD, LCSW
1355 N UNIVERSITY AVE STE 200
PROVO, UT 84604-2721
Phone number: 801-221-0223
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Mailing Address
Dr. SUE GAIL MIDDLETON PhD, LCSW
1355 N UNIVERSITY AVE STE 200
PROVO, UT 84604-2721
Phone number: 801-221-0223
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