Individual
MISS MYRANDA MARIE GOUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
382 FINCHWOOD DR, LATHROP, CA 95330-8612
(209) 484-3973
Mailing address
382 FINCHWOOD DR, LATHROP, CA 95330-8612
(209) 484-3973
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ASW16765
CA
Other
Enumeration date
03/12/2007
Last updated
01/03/2022
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