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1134876907
LOGAN GULLETT
PORTSMOUTH, OH
NPI
1134876907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 179906)
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
LOGAN GULLETT
519 COURT ST
PORTSMOUTH, OH 45662-3933
Phone number: 740-876-4370
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Mailing Address
LOGAN GULLETT
519 COURT ST
PORTSMOUTH, OH 45662-3933
Phone number: 740-876-4370
Copy
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