Individual
ALICEJANE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CSW
Contact information
Practice address
800 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-5848
(616) 456-6135
(616) 771-9779
Mailing address
1213 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-5448
(616) 774-4792
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801067532
MI
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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