Individual
MALLORY LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 S BELL AVE STE 108, AMES, IA 50010-7730
(515) 337-0343
Mailing address
4909 NW 4TH ST, ANKENY, IA 50023-8003
(515) 423-9075
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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