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1558039289
DESTINY LOGAN
COLUMBIA, MD
NPI
1558039289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
DESTINY LOGAN BS, MEd
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046-3444
Phone number: 888-344-5977
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Mailing Address
DESTINY LOGAN BS, MEd
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046-3444
Phone number: 888-344-5977
Copy
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