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Individual

MARGUERITE C GOULET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA LP

Contact information

Practice address
617 OAK ST, BRAINERD, MN 56401-3610
(218) 829-7140
Mailing address
617 OAK ST, BRAINERD, MN 56401-3610
(218) 829-7140

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1885
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115668
UCARE
MN
01
6234637
MEDICA
MN
01
62G73GO
BCBS
MN
01
848977
ARAZ
MN
Enumeration date
07/28/2006
Last updated
07/09/2007
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