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1235495466
RYAN LOGAN
SETAUKET, NY
NPI
1235495466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 085124-1)
Enumeration Date
2012-04-02
Last Update Date
2012-04-02
Business Address
Mr. RYAN LOGAN LMSW
23 TAVERN WAY
SETAUKET, NY 11733-2856
Phone number: 631-678-8816
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Mailing Address
Mr. RYAN LOGAN LMSW
23 TAVERN WAY
SETAUKET, NY 11733-2856
Phone number: 631-678-8816
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