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1750161204
LOGAN C TAYLOR
WOODBRIDGE, VA
NPI
1750161204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701012898)
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
Mr. LOGAN C TAYLOR
13000 HARBOR CENTER DR STE 302
WOODBRIDGE, VA 22192-2847
Phone number: 703-492-2994
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Mailing Address
Mr. LOGAN C TAYLOR
13000 HARBOR CENTER DR STE 302
WOODBRIDGE, VA 22192-2847
Phone number: 703-492-2994
Copy
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