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1669620134
TORI LEE LOGAN
CONCORD, CA
NPI
1669620134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-08
Last Update Date
2008-09-08
Business Address
-- TORI LEE LOGAN
2086 COMMERCE AVE
CONCORD, CA 94520-4902
Phone number: 510-575-8994
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Mailing Address
-- TORI LEE LOGAN
2086 COMMERCE AVE
CONCORD, CA 94520-4902
Phone number: 510-575-8994
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