Individual
LESLIE STAR LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 S JONES BLVD, LAS VEGAS, NV 89107-2658
(702) 496-1367
Mailing address
PO BOX 2252, OVERTON, NV 89040-2252
(214) 683-8684
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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