MADISON LOGAN

WEST LAFAYETTE, IN
NPI1710436944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  46003077A)
Enumeration Date2016-09-29
Last Update Date2016-09-29
Business Address
-- MADISON LOGAN
3482 MCCLURE AVE SUITE 150
WEST LAFAYETTE, IN 47906-4164
Phone number: 765-828-3547
Mailing Address
-- MADISON LOGAN
3482 MCCLURE AVE SUITE 150
WEST LAFAYETTE, IN 47906-4164
Phone number: 765-828-3547
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