LOGAN M PENCE

EATON, OH
NPI1104065564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  943841)
Enumeration Date2009-02-09
Last Update Date2009-02-09
Business Address
-- LOGAN M PENCE LICDC
228 N BARRON ST
EATON, OH 45320-1704
Phone number: 937-456-7694
Mailing Address
-- LOGAN M PENCE LICDC
228 N BARRON ST
EATON, OH 45320-1704
Phone number: 937-456-7694
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