Individual
EMILY IRENE GOUDREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
291 W LAKEWOOD BLVD STE H, HOLLAND, MI 49424-1969
(970) 988-6718
Mailing address
5904 PRESERVATION DR, HAMILTON, MI 49419-9693
(970) 988-6718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005049
MI
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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