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1689978025
CANDACE OSWALT LOGAN
JACKSON, MS
NPI
1689978025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MS S3454)
Enumeration Date
2010-12-28
Last Update Date
2011-07-29
Business Address
MRS. CANDACE OSWALT LOGAN M.S., CCC-SLP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
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Mailing Address
MRS. CANDACE OSWALT LOGAN M.S., CCC-SLP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number:
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