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1942329131
HOLLY MONIQUE LOGAN
CANOGA PARK, CA
NPI
1942329131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
MS. HOLLY MONIQUE LOGAN
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number: 818-206-0360
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Mailing Address
MS. HOLLY MONIQUE LOGAN
4541 MURIETTA AVE #6
SHERMAN OAKS, CA 91423-2985
Phone number: 818-206-0360
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