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1386145837
LOGAN KING
ANDERSON, SC
NPI
1386145837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC 17-46188)
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
LOGAN KING
4323 OLD MILL RD STE B
ANDERSON, SC 29621-1117
Phone number: 864-671-1466
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Mailing Address
LOGAN KING
181 W PROFESSIONAL PARK CT STE 1
BOWLING GREEN, KY 42104-3250
Phone number: 270-777-9283
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