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1578012431
MANDY LEE LOGSDON
WINDHAM, ME
NPI
1578012431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC6079)
Enumeration Date
2016-10-03
Last Update Date
2016-10-03
Business Address
-- MANDY LEE LOGSDON CADC
86 TANDBERG TRL
WINDHAM, ME 04062-5841
Phone number: 207-893-0386
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Mailing Address
-- MANDY LEE LOGSDON CADC
86 TANDBERG TRL
WINDHAM, ME 04062-5841
Phone number: 207-893-0386
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