Individual
DMOUCHELLE GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
626 E GRAND BLVD, DETROIT, MI 48207-3513
(313) 833-5614
Mailing address
2150 MARTIN LUTHER KING JR BLVD APT 204, DETROIT, MI 48208-2669
(313) 770-1798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451017171
MI
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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