LOGAN KERMICLE

LAWRENCEVILLE, IL
NPI1144739194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2017-09-21
Last Update Date2017-09-21
Business Address
LOGAN KERMICLE LPN
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Phone number: 618-943-3654
Mailing Address
LOGAN KERMICLE LPN
P.O. BOX 516 11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Phone number: 618-943-3754
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