Individual
MS. CHRISTINE MIRIAM GOUGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 419-1927
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 419-1927
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
09/13/2023
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