Individual
SHAVONNE GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21331 KELLY RD, EASTPOINTE, MI 48021-3265
(248) 394-7806
Mailing address
21331 KELLY RD, EASTPOINTE, MI 48021-3265
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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