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1770060907
LOGAN JAMES GILL
MILWAUKEE, WI
NPI
1770060907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-20
Last Update Date
2018-07-20
Business Address
LOGAN JAMES GILL
6040 W LISBON AVE STE 103
MILWAUKEE, WI 53210-2116
Phone number: 414-442-1751
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Mailing Address
LOGAN JAMES GILL
1519 S 70TH ST
WEST ALLIS, WI 53214-4821
Phone number: 608-239-3483
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