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1174730162
MICHAEL C LOGUE
LOS ANGELES, CA
NPI
1174730162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 41889)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL C LOGUE MFT
2451 PURDUE AVE #10
LOS ANGELES, CA 90064-5122
Phone number: 310-402-3625
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Mailing Address
Mr. MICHAEL C LOGUE MFT
2451 PURDUE AVE #10
LOS ANGELES, CA 90064-5122
Phone number: 310-402-3625
Copy
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