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1568189769
LOGAN OLIVIA HARRIS
VALDOSTA, GA
NPI
1568189769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA RBT-22-241008)
Enumeration Date
2022-10-27
Last Update Date
2022-10-27
Business Address
LOGAN OLIVIA HARRIS
2225 BEMISS RD STE D
VALDOSTA, GA 31602-4819
Phone number: 800-832-9419
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Mailing Address
LOGAN OLIVIA HARRIS
2225 BEMISS RD STE D
VALDOSTA, GA 31602-4819
Phone number:
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