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Individual
SHAUN GOULD
Active
Individual
SHAUN GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
177075
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177075
SUBSTANCE ABUSE
OH
Enumeration date
01/12/2022
Last updated
01/12/2022
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