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1790301604
LEAH L LOGAN
GASTONIA, NC
NPI
1790301604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A15587)
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
LEAH L LOGAN LCMHC-A
635 COX RD STE B
GASTONIA, NC 28054-3441
Phone number: 704-691-7561
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Mailing Address
LEAH L LOGAN LCMHC-A
119 SANTE CIR
GASTONIA, NC 28052-9215
Phone number: 704-534-3560
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