Individual
HEAVEN GOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2408 MCGEHEE ST, DURHAM, NC 27707-1427
(919) 827-6279
Mailing address
2408 MCGEHEE ST, DURHAM, NC 27707-1427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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