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1184907024
THOMAS MACK LOGAN
LONGVIEW, TX
NPI
1184907024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: TX 67844)
Enumeration Date
2011-09-27
Last Update Date
2023-01-19
Business Address
THOMAS MACK LOGAN MS, LPC
404 DEERWOOD DR
LONGVIEW, TX 75604-4415
Phone number: 956-203-1131
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Mailing Address
THOMAS MACK LOGAN MS, LPC
404 DEERWOOD DR
LONGVIEW, TX 75604-4415
Phone number: 956-203-1131
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