Individual
LOGAN JAMES FENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2225 ASHLEY RIVER RD, CHARLESTON, SC 29414-4701
(757) 285-1529
Mailing address
2225 ASHLEY RIVER RD, CHARLESTON, SC 29414-4701
(757) 285-1529
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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