Individual
AUTUMN MARIE MCGOVERN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1484 N M 52, OWOSSO, MI 48867-1235
(770) 373-5822
(248) 712-4381
Mailing address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(616) 226-2857
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
11/06/2021
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