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1245096825
ELIZABETH N LOGAN
MARTINEZ, GA
NPI
1245096825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 008843)
Enumeration Date
2024-02-22
Last Update Date
2024-02-22
Business Address
ELIZABETH N LOGAN APC
4145 COLUMBIA RD
MARTINEZ, GA 30907-5400
Phone number: 706-869-7373
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Mailing Address
ELIZABETH N LOGAN APC
4477 TEA OLIVE DR
EVANS, GA 30809-4471
Phone number: 706-910-5275
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