Individual
KIM MICHELLE GOFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4736 E M 36, PINCKNEY, MI 48169-9383
(810) 231-9591
Mailing address
4736 E M 36, PINCKNEY, MI 48169-9383
(810) 231-9591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009501
MI
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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