Individual
LOGAN RUTH MAYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32871 LA-16, DENHAM SPRINGS, LA 70706
(225) 349-7960
Mailing address
34375 QUARTER HORSE LN, WALKER, LA 70785-4541
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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