Individual
LOGAN KAY VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6612 S 3200 W, BENJAMIN, UT 84660-4123
(801) 798-7700
(801) 798-5476
Mailing address
13 S 475 W, SPANISH FORK, UT 84660-5607
(801) 798-7700
(801) 798-5476
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
138242-3501
UT
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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