Individual
LOGAN MARCUS O'HANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 POOR VALLEY CREEK RD, ROGERSVILLE, TN 37857-7319
(423) 647-7506
Mailing address
207 POOR VALLEY CREEK RD, ROGERSVILLE, TN 37857-7319
(423) 647-7506
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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