Individual
ALBERT LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1961 NORTHPOINT BLVD STE 140, HIXSON, TN 37343-4999
(423) 512-8370
Mailing address
1961 NORTHPOINT BLVD, HIXSON, TN 37343-4556
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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