Mia Gougeon, RSW

NPI #1932165826 in Holt, Michigan

Provider Information

NPI Number: 1932165826
Entity Type: Individual
Name: Mia Gougeon, RSW
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Social Worker
Credential: RSW
Enumeration Date: Apr 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2389 JARCO DR
City: Holt
State: Michigan
ZIP Code: 48842-1209
Phone: (517) 694-5098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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