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1639559164
JOHN GAULT
SAN DIEGO, CA
NPI
1639559164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 91293)
Enumeration Date
2015-05-29
Last Update Date
2019-09-12
Business Address
Mr. JOHN GAULT LCSW
140 ARBOR DR
SAN DIEGO, CA 92103-2007
Phone number: 619-543-7681
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Mailing Address
Mr. JOHN GAULT LCSW
1939 ROBINSON AVE
SAN DIEGO, CA 92104-3224
Phone number: 248-660-6997
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