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Individual
MR. LOGAN MATTHEW WARRINER
Active
Individual
MR. LOGAN MATTHEW WARRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61124420
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61124420
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
02/17/2022
Last updated
02/17/2022
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