Shavonne Gould

NPI #1124992367 in Eastpointe, Michigan

Provider Information

NPI Number: 1124992367
Entity Type: Individual
Name: Shavonne Gould
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Oct 1, 2025
Last Updated: Oct 1, 2025

Practice Location

Address: 21331 KELLY RD
City: Eastpointe
State: Michigan
ZIP Code: 48021-3265
Phone: (248) 394-7806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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