LOGAN RAYMOND PALO

SAN JOSE, CA
NPI1861885568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-03-05
Last Update Date2015-03-05
Business Address
-- LOGAN RAYMOND PALO B.A.
1993 MCKEE RD BLDG. C
SAN JOSE, CA 95116-1406
Phone number: 408-926-7924
Mailing Address
-- LOGAN RAYMOND PALO B.A.
2270 JOHN CT APT 4
CASTRO VALLEY, CA 94546-5128
Phone number: 510-914-7562
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