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1558846410
STEFAN LOGIE
FOLSOM, CA
NPI
1558846410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist Cognitive & Behavioral
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
STEFAN LOGIE
848 BLOSSOM ROCK LN
FOLSOM, CA 95630-7845
Phone number: 831-884-6340
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Mailing Address
STEFAN LOGIE
PO BOX 2082
FOLSOM, CA 95763-2082
Phone number: 831-884-6340
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