JEORGE L LOGAN

DAYTON, OH
NPI1699127977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDC.151219-3)
Enumeration Date2016-07-11
Last Update Date2016-07-11
Business Address
-- JEORGE L LOGAN LCDCIIII
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417-3424
Phone number: 937-734-8333
Mailing Address
-- JEORGE L LOGAN LCDCIIII
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417-3424
Phone number: 937-734-8333
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