Individual
MR. BRYANT GERARDE GOULET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
15370 LEVAN RD, SUITE 2, LIVONIA, MI 48154-1903
(734) 744-0170
(734) 744-0171
Mailing address
659 S WAVERLY ST, DEARBORN, MI 48124-1651
(313) 277-5742
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801034057
MI
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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