LOGAN THOMAS GILMORE

ELLSWORTH AFB, SD
NPI1922681568
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-40248)
Enumeration Date2021-05-02
Last Update Date2023-09-25
Business Address
LOGAN THOMAS GILMORE LCSW
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706-4821
Phone number: 605-858-2365
Mailing Address
LOGAN THOMAS GILMORE LCSW
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706-4821
Phone number: 605-858-2365
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