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1912516907
LOGAN KING
WINSTON SALEM, NC
NPI
1912516907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A15873)
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
LOGAN KING LCMHCA, NCC
3143 S STRATFORD RD
WINSTON SALEM, NC 27103-5948
Phone number: 336-601-8516
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Mailing Address
LOGAN KING LCMHCA, NCC
911 IDLEWOOD DR
GREENSBORO, NC 27408-8719
Phone number: 336-601-8516
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