ROGER JONATHAN GAULT

TACOMA, WA
NPI1215576152
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-12-23
Last Update Date2020-11-17
Business Address
ROGER JONATHAN GAULT
1305 TACOMA AVE S STE 305
TACOMA, WA 98402-1903
Phone number: 253-396-5827
Mailing Address
ROGER JONATHAN GAULT
1305 TACOMA AVE S STE 305
TACOMA, WA 98402-1903
Phone number: 253-396-5827
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