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1528650199
IAN DANIEL GAULT
FLORENCE, SC
NPI
1528650199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 7582)
Enumeration Date
2021-02-05
Last Update Date
2021-02-05
Business Address
Mr. IAN DANIEL GAULT MS, LPC-A
2143 HOFFMEYER RD STE B
FLORENCE, SC 29501-4078
Phone number: 843-256-2216
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Mailing Address
Mr. IAN DANIEL GAULT MS, LPC-A
256 TRIPLE J LN
BENNETTSVILLE, SC 29512-8208
Phone number: 864-426-7044
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