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1679015754
DEITRICK MIDDLETON
CHARLESTON, SC
NPI
1679015754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-07
Last Update Date
2016-11-07
Business Address
-- DEITRICK MIDDLETON
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414-5832
Phone number: 843-212-8968
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Mailing Address
-- DEITRICK MIDDLETON
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414-5832
Phone number: 843-212-8968
Copy
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