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1174172159
AMANDA A GOUGH
TRAVERSE CITY, MI
NPI
1174172159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801105682)
Enumeration Date
2019-09-11
Last Update Date
2024-07-05
Business Address
AMANDA A GOUGH MLSW
3298 VETERANS DR
TRAVERSE CITY, MI 49684-4725
Phone number: 231-715-8466
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Mailing Address
AMANDA A GOUGH MLSW
3298 VETERANS DR
TRAVERSE CITY, MI 49684-4725
Phone number: 231-715-8466
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