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Individual

MRS. LOGAN MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
205 PIEDMONT BLVD # 100, ROCK HILL, SC 29732-1836
(803) 327-2012
Mailing address
3204 LIZZIE MELTON RD, CHESTER, SC 29706-5726

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
250411
SC

Other

Enumeration date
03/10/2022
Last updated
03/10/2022
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