LOGAN MITCHELL PORTER

LACEY, WA
NPI1114647328
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: WA  61310165)
Enumeration Date2022-08-29
Last Update Date2022-08-29
Business Address
LOGAN MITCHELL PORTER CL 61310165
4419 21ST CT SE
LACEY, WA 98503-7036
Phone number: 253-777-7269
Mailing Address
LOGAN MITCHELL PORTER CL 61310165
4419 21ST CT SE
LACEY, WA 98503-7036
Phone number: 253-777-7269
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