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1003013491
KENNETH ALAN LOGAN
ROSEVILLE, CA
NPI
1003013491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY21249)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
Dr. KENNETH ALAN LOGAN Psy.D.
1891 E ROSEVILLE PKWY SUITE 100
ROSEVILLE, CA 95661-7973
Phone number: 916-789-7082
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Mailing Address
Dr. KENNETH ALAN LOGAN Psy.D.
1891 E ROSEVILLE PKWY SUITE 100
ROSEVILLE, CA 95661-7973
Phone number: 916-789-7082
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