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1477015725
DEIDRA A LOGAN
SEATTLE, WA
NPI
1477015725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA CB60871416)
Enumeration Date
2019-04-04
Last Update Date
2019-04-04
Business Address
DEIDRA A LOGAN CBT
1855 MCGILVRA BLVD E
SEATTLE, WA 98112-3123
Phone number: 818-813-2216
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Mailing Address
DEIDRA A LOGAN CBT
1855 MCGILVRA BLVD E
SEATTLE, WA 98112-3123
Phone number: 818-813-2216
Copy
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