Individual
SUZANNE MARIE GAUVREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5000 TOWN CTR, 2704, SOUTHFIELD, MI 48075-1110
(586) 549-0414
Mailing address
5000 TOWN CTR, 2704, SOUTHFIELD, MI 48075-1110
(586) 549-0414
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15025
TX
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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