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1285488007
RYAN JAMES LEGAULT
WESTLAKE VILLAGE, CA
NPI
1285488007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2024-04-17
Last Update Date
2024-04-17
Business Address
MR. RYAN JAMES LEGAULT
2625 TOWNSGATE RD STE 102
WESTLAKE VILLAGE, CA 91361-5726
Phone number: 805-413-3009
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Mailing Address
MR. RYAN JAMES LEGAULT
96 DOONE ST
THOUSAND OAKS, CA 91360-3512
Phone number: 805-630-0175
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