Individual
MRS. JESSICA LEE GOSTLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
1205 SIGSBEE ST, HANCOCK, MI 49930-1352
(906) 370-8357
Mailing address
1205 SIGSBEE ST, HANCOCK, MI 49930-1352
(906) 370-8357
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010858
MI
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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