BRAXTEN LOGAN

SPARTANBURG, SC
NPI1851014229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2022-09-21
Last Update Date2022-09-21
Business Address
BRAXTEN LOGAN MA
250 DEWEY AVE
SPARTANBURG, SC 29303-3009
Phone number: 186-440-6811
Mailing Address
BRAXTEN LOGAN MA
250 DEWEY AVE
SPARTANBURG, SC 29303-3009
Phone number: 186-440-6811