Individual
KALISI LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(833) 882-2737
Mailing address
1701 TRINITY ST, AUSTIN, TX 78712-1869
(833) 882-2737
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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