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1841341682
AMEL LOGAN
SPRINGFIELD, VA
NPI
1841341682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701004104)
Enumeration Date
2007-01-16
Last Update Date
2015-01-09
Business Address
-- AMEL LOGAN LPC
6120 BRANDON AVE STE 117
SPRINGFIELD, VA 22150-2504
Phone number: 703-887-9582
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Mailing Address
-- AMEL LOGAN LPC
PO BOX 1610
NEWINGTON, VA 22122-1610
Phone number: 703-887-9582
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