EVAN RICHARD MIDDAUGH

CHICAGO, IL
NPI1316588718
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.021545)
Enumeration Date2019-10-07
Last Update Date2019-10-07
Business Address
EVAN RICHARD MIDDAUGH
2711 N MILDRED AVE APT 2B
CHICAGO, IL 60614-2771
Phone number: 239-851-5661
Mailing Address
EVAN RICHARD MIDDAUGH
2711 N MILDRED AVE APT 2B
CHICAGO, IL 60614-2771
Phone number: 239-851-5661