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LOGAN SOUTHWELL

Peer Specialist

NPI: 1851146229Individual

Specialties, Licenses & Credentials

Peer Specialist

Code: 175T00000X

Contact & Hours

Address
1601 GORDON COOPER DR
SHAWNEE, OK 74801

Quick Facts

NPI
1851146229
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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