Individual
BRIDGET GOUKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11918 MILES AVE, CLEVELAND, OH 44105-5466
(440) 537-5673
Mailing address
1111 SUPERIOR AVE E STE 1800, CLEVELAND, OH 44114-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND-2016290
OH
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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