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1659114015
GARRETT WADE LOGAN
WAXAHACHIE, TX
NPI
1659114015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 12245)
Enumeration Date
2024-06-14
Last Update Date
2024-06-14
Business Address
GARRETT WADE LOGAN CF
1329 BROWN ST
WAXAHACHIE, TX 75165-1418
Phone number: 972-937-5999
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Mailing Address
GARRETT WADE LOGAN CF
556 CR NE 2025
MOUNT VERNON, TX 75457
Phone number: 903-573-3031
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