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1316393598
RYAN LOGUE
COLUMBIA, MD
NPI
1316393598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LC5991)
Enumeration Date
2016-05-06
Last Update Date
2016-05-06
Business Address
-- RYAN LOGUE LCPC
5462 TILTED STONE
COLUMBIA, MD 21045-2430
Phone number: 240-481-5164
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Mailing Address
-- RYAN LOGUE LCPC
5462 TILTED STONE
COLUMBIA, MD 21045-2430
Phone number: 240-481-5164
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