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Individual

LOGAN KENDRICK KEYSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
130 W 6TH ST, CHICO, CA 95928-5508
(530) 894-8008
(530) 872-7784
Mailing address
130 W 6TH ST, CHICO, CA 95928-5508
(530) 894-8008
(530) 872-7784

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
03/25/2009
Last updated
03/25/2009
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