LOGAN PHENGSOMPHONE

SCHAUMBURG, IL
NPI1972364214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-01-23
Last Update Date2024-01-23
Business Address
LOGAN PHENGSOMPHONE RBT
1300 REMINGTON RD STE K
SCHAUMBURG, IL 60173-4800
Phone number: 847-496-5513
Mailing Address
LOGAN PHENGSOMPHONE RBT
8201 CASS AVE
DARIEN, IL 60561-5314
Phone number: 630-590-5571
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