| NPI | 1578606737 |
|---|---|
| Professional Name | NICOLE L GOUGEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 21993) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 7298123) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-05-04 |