MARION WILSON LOGAN

HONOLULU, HI
NPI1851639777
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-28
Last Update Date2013-01-28
Business Address
Mr. MARION WILSON LOGAN
615 PIIKOI ST STE 105
HONOLULU, HI 96814-3139
Phone number: 808-596-8433
Mailing Address
Mr. MARION WILSON LOGAN
615 PIIKOI ST STE 105
HONOLULU, HI 96814-3139
Phone number: 808-596-8433
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