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Individual
LIBERTY ROSE LOGAN
Active
Individual
LIBERTY ROSE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230090840
CA
171400000X
Health & Wellness Coach
Primary
230090840
CA
Other
Enumeration date
05/14/2026
Last updated
06/03/2026
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