DAVIS LOGAN

MISSOULA, MT
NPI1275297939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MT  44181)
Enumeration Date2021-10-27
Last Update Date2021-10-27
Business Address
DAVIS LOGAN SWLC, MSW
14 CHARIS LN
MISSOULA, MT 59802-3516
Phone number: 313-802-1073
Mailing Address
DAVIS LOGAN SWLC, MSW
14 CHARIS LN
MISSOULA, MT 59802-3516
Phone number: 313-802-1073
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