Individual
MR. MARION WILSON LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 PIIKOI ST STE 105, HONOLULU, HI 96814-3139
(808) 596-8433
Mailing address
615 PIIKOI ST STE 105, HONOLULU, HI 96814-3139
(808) 596-8433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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