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1821377854
GAYLE VENCE LOGAN
PHILADELPHIA, PA
NPI
1821377854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC005429)
Enumeration Date
2011-08-09
Last Update Date
2011-08-09
Business Address
Ms. GAYLE VENCE LOGAN MA,LMSW,LPC
2449 GOLF RD STE 14
PHILADELPHIA, PA 19131-1475
Phone number: 215-477-3103
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Mailing Address
Ms. GAYLE VENCE LOGAN MA,LMSW,LPC
2449 GOLF RD STE 14
PHILADELPHIA, PA 19131-1475
Phone number: 215-477-3103
Copy
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