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1790029866
BEVERLY GOUGH
TROY, MI
NPI
1790029866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MA 6744-SL)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
BEVERLY GOUGH MA CCC SLP
1635 W BIG BEAVER RD
TROY, MI 48084-3501
Phone number: 248-816-7000
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Mailing Address
BEVERLY GOUGH MA CCC SLP
1635 W BIG BEAVER RD
TROY, MI 48084-3501
Phone number: 248-816-7000
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