JOHN LOGAN

TULLAHOMA, TN
NPI1801181540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-06-10
Last Update Date2011-06-10
Business Address
-- JOHN LOGAN
709 NORTH DAVIDSON STREET
TULLAHOMA, TN 37388-2346
Phone number: 931-434-2484
Mailing Address
-- JOHN LOGAN
709 NORTH DAVIDSON STREET
TULLAHOMA, TN 37388-2346
Phone number: 931-434-2484
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