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1679692073
MARK T MIDDLEBROOKS
LEAGUE CITY, TX
NPI
1679692073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 10869)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Mr. MARK T MIDDLEBROOKS lcsw
614 W MAIN ST #102
LEAGUE CITY, TX 77573-3771
Phone number: 281-332-4396
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Mailing Address
Mr. MARK T MIDDLEBROOKS lcsw
614 W MAIN ST #102
LEAGUE CITY, TX 77573-3771
Phone number: 281-332-4396
Copy
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