Individual
MRS. DEBORA LYNN GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
285 E BAGLEY RD, BEREA, OH 44017
(440) 260-8367
Mailing address
285 E. BAGLEY RD., BEREA, OH 44028
(440) 260-8367
(440) 260-8388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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