Mary-Olieta Michelle Logan

NPI #1942799168 in Great Falls, Montana

Provider Information

NPI Number: 1942799168
Entity Type: Individual
Name: Mary-Olieta Michelle Logan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 2, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 215 SMELTER AVE NE
City: Great Falls
State: Montana
ZIP Code: 59404-1937
Phone: (406) 452-9531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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