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1285477356
GABRIELLE LOGAN
LOS ANGELES, CA
NPI
1285477356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
GABRIELLE LOGAN
155 BIMINI PL
LOS ANGELES, CA 90004-5902
Phone number: 213-388-5423
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Mailing Address
GABRIELLE LOGAN
155 BIMINI PL
LOS ANGELES, CA 90004-5902
Phone number: 213-388-5423
Copy
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