Individual
STEPHANIE GOGARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
5010 DELBROOK AVE, LANSING, MI 48910-5386
(517) 410-0843
Mailing address
5010 DELBROOK AVE, LANSING, MI 48910-5386
(517) 410-0843
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015356
MI
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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