Individual
MRS. MAUREEN GEORGIA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3498 TOLUCA TER, NORTH PORT, FL 34286-7552
(941) 467-8899
Mailing address
3498 TOLUCA TER, NORTH PORT, FL 34286-7552
(941) 467-8899
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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