DELLA LOGSDON

MANGUM, OK
NPI1992033872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  904207)
Enumeration Date2009-12-03
Last Update Date2009-12-03
Business Address
Ms. DELLA LOGSDON PRSS
2 WICKERSHAM ST
MANGUM, OK 73554-9117
Phone number: 580-782-3337
Mailing Address
Ms. DELLA LOGSDON PRSS
PO BOX 376
GRANITE, OK 73547-0376
Phone number: 580-301-4060
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