Individual
ALIYAH GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 13TH AVENUE, NEW GLARUS, WI 53574
(608) 424-8735
Mailing address
806 OHIO ST, DARLINGTON, WI 53530
(608) 482-0619
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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