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MISS MYRANDA MARIE GOUIN

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1427180470

Individual Registrant:
MISS MYRANDA MARIE GOUIN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
382 FINCHWOOD DR  LATHROP, CA 95330-8612 US
Tel: 209-484-3973  Fax: --

Contact information for business:
382 FINCHWOOD DRIVE  LATHROP, CA 95330-0613 US
Tel: 209-484-3973  Fax: --

Registration Information:
NPI: 1427180470
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
CAASW16765

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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