LOGAN BLACKMON

BOWLING GREEN, KY
NPI1245886563
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-08-13
Last Update Date2019-08-13
Business Address
LOGAN BLACKMON
1711 DESTINY LN STE 107
BOWLING GREEN, KY 42104-1067
Phone number: 270-702-2464
Mailing Address
LOGAN BLACKMON
1321 MURFREESBORO PIKE STE 702
NASHVILLE, TN 37217-2679
Phone number: 615-695-2277
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