Individual
MICHELLE L GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29329 PERTH ST, LIVONIA, MI 48154-4565
(313) 737-2017
Mailing address
29329 PERTH ST, LIVONIA, MI 48154-4565
(313) 737-2017
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
MI
253Z00000X
In Home Supportive Care Agency
Primary
—
MI
376J00000X
Homemaker
—
MI
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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