Kamille Logan

NPI #1205605037 in Portage, Michigan

Provider Information

NPI Number
1205605037
Entity Type
Individual
Name
Kamille Logan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Dec 20, 2023
Last Updated
Dec 20, 2023

Practice Location

Address
5250 LOVERS LN
ZIP Code
49002-1580
Phone
(269) 425-1536

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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