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1073146700
MERCEDES GOUGH
DETROIT, MI
NPI
1073146700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851110114)
Enumeration Date
2020-02-21
Last Update Date
2023-12-08
Business Address
MERCEDES GOUGH
882 OAKMAN BLVD
DETROIT, MI 48238-3710
Phone number: 313-961-4890
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Mailing Address
MERCEDES GOUGH
18241 LISTER AVE
EASTPOINTE, MI 48021-2714
Phone number: 248-520-4696
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