LOGAN GREEN

NORTH AURORA, IL
NPI1528720703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-10-06
Last Update Date2025-12-09
Business Address
LOGAN GREEN
106 S LINCOLNWAY STE A
NORTH AURORA, IL 60542-1597
Phone number: 815-757-7966
Mailing Address
LOGAN GREEN
1021 N MULFORD RD
ROCKFORD, IL 61107-3874
Phone number: 309-335-9614
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