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1659879781
LOGAN KEVILLE
COLORADO SPRINGS, CO
NPI
1659879781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC.0019071)
Enumeration Date
2018-01-23
Last Update Date
2023-10-19
Business Address
LOGAN KEVILLE
1283 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 80920-3925
Phone number: 719-452-4803
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Mailing Address
LOGAN KEVILLE
10704 RIDGEPOLE DR
COLORADO SPRINGS, CO 80925-1405
Phone number: 970-417-9644
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