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1760073779
KENNETH LEON LOGAN
LOUISVILLE, KY
NPI
1760073779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: KY 268053)
Enumeration Date
2021-02-02
Last Update Date
2021-02-10
Business Address
KENNETH LEON LOGAN
10401 LINN STATION RD STE 100
LOUISVILLE, KY 40223-3842
Phone number: 502-589-8600
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Mailing Address
KENNETH LEON LOGAN
10401 LINN STATION RD STE 100
LOUISVILLE, KY 40223-3842
Phone number: 502-589-8600
Copy
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