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1407423684
MARQUISE MIDDLETON
SAINT LOUIS, MO
NPI
1407423684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2021018624)
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
MARQUISE MIDDLETON PLPC
5355 PAGE BLVD
SAINT LOUIS, MO 63112-3414
Phone number: 314-361-2222
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Mailing Address
MARQUISE MIDDLETON PLPC
11338 GARDENVIEW LN APT 1
SAINT ANN, MO 63074-1056
Phone number: 314-410-0999
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