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Individual

MR. JOHN PAUL LOGSDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S. CCC/SLP

Contact information

Practice address
581 HERMAN AVE, BOWLING GREEN, KY 42104-8577
(270) 842-6636
Mailing address
581 HERMAN AVE., BOWLING GREEN, KY 42104
(270) 842-6636

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0887
KY

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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