Individual
KATHERINE LATIFAH LOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 W ONEIL DR APT 1145, CASA GRANDE, AZ 85122-1195
(520) 414-6031
Mailing address
720 W ONEIL DR APT 1145, CASA GRANDE, AZ 85122-1195
(520) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-236087
AZ
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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