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1184409062
LOGAN SIMMONS
GREENVILLE, NC
NPI
1184409062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NC P019573)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
LOGAN SIMMONS LCSWA
111 S BAYWOOD LN
GREENVILLE, NC 27834-6946
Phone number: 910-840-5568
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Mailing Address
LOGAN SIMMONS LCSWA
111 S BAYWOOD LN
GREENVILLE, NC 27834-6946
Phone number: 910-840-5568
Copy
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