SUZANNAH MIRIAM GOULD

SHIPROCK, NM
NPI1972769875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  4441)
Enumeration Date2008-07-31
Last Update Date2019-07-12
Business Address
Ms. SUZANNAH MIRIAM GOULD LADAC
HWY 491 NORTH PINION STREET
SHIPROCK, NM 87420
Phone number: 505-368-1050
Mailing Address
Ms. SUZANNAH MIRIAM GOULD LADAC
PO BOX 1830
SHIPROCK, NM 87420-1830
Phone number: 505-368-1050
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