Individual
MRS. KIM LOUISE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7785 N STATE ST STE 2, LOWVILLE, NY 13367-1229
(315) 376-5453
Mailing address
7785 N STATE ST STE 2, LOWVILLE, NY 13367-1229
(315) 376-5453
(315) 376-7013
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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