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1073137618
KELLY LOGAN
LOS ANGELES, CA
NPI
1073137618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
KELLY LOGAN
1433 S ROBERTSON BLVD
LOS ANGELES, CA 90035-3414
Phone number: 310-785-2121
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Mailing Address
KELLY LOGAN
1433 S ROBERTSON BLVD
LOS ANGELES, CA 90035-3414
Phone number:
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