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1538254859
ELLEN MARTIN LOGAN
CUMMING, GA
NPI
1538254859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: GA 1510)
Enumeration Date
2006-10-03
Last Update Date
2007-07-09
Business Address
Dr. ELLEN MARTIN LOGAN Ph.D.
6030 BETHELVIEW RD STE 401
CUMMING, GA 30040-8063
Phone number: 770-889-1980
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Mailing Address
Dr. ELLEN MARTIN LOGAN Ph.D.
6030 BETHELVIEW RD STE 401
CUMMING, GA 30040-8063
Phone number: 770-889-1980
Copy
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