Logan Marie Tollison

NPI #1114766581 in Cape Girardeau, Missouri

Provider Information

NPI Number: 1114766581
Entity Type: Individual
Name: Logan Marie Tollison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 23, 2024
Last Updated: May 23, 2024

Practice Location

Address: 20 S SPRIGG ST
City: Cape Girardeau
State: Missouri
ZIP Code: 63703-6212
Phone: (573) 651-4177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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