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1174197370
LOGAN MACRAE ELLIS
LEXINGTON, KY
NPI
1174197370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 270292)
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
LOGAN MACRAE ELLIS M.A. Ed., CF-SLP
3280 BLAZER PKWY STE 101
LEXINGTON, KY 40509-2117
Phone number: 859-225-5424
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Mailing Address
LOGAN MACRAE ELLIS M.A. Ed., CF-SLP
3280 BLAZER PKWY STE 101
LEXINGTON, KY 40509-2117
Phone number: 859-225-5424
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