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1255048948
LOGAN ANDREW RICKER
MORRISTOWN, TN
NPI
1255048948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TN 7511)
Enumeration Date
2022-11-01
Last Update Date
2022-11-01
Business Address
LOGAN ANDREW RICKER M.S. CCC-SLP
900 TRADE ST
MORRISTOWN, TN 37813-5773
Phone number: 423-254-1978
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Mailing Address
LOGAN ANDREW RICKER M.S. CCC-SLP
255 GREENBRIAR RD
TALBOTT, TN 37877-8314
Phone number: 423-736-8028
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