Individual
MS. JACQUELINE GAUVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LLP
Contact information
Practice address
9934 5 MILE RD, NORTHVILLE, MI 48168-9467
(734) 451-9798
(734) 458-4614
Mailing address
9934 5 MILE RD, NORTHVILLE, MI 48168-9467
(734) 451-9798
(734) 458-4614
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6301008459
MI
Other
Enumeration date
11/29/2006
Last updated
06/04/2011
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