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1740311547
SALLY J LOGERQUIST
GLENDALE, AZ
NPI
1740311547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: AZ 3412)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Dr. SALLY J LOGERQUIST Ph.D.
4602 W SWEETWATER AVE
GLENDALE, AZ 85304-1505
Phone number: 602-896-6513
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Mailing Address
Dr. SALLY J LOGERQUIST Ph.D.
PO BOX 4673
SCOTTSDALE, AZ 85261-4673
Phone number: 602-896-6513
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