Carolyn Logue, BS

NPI #1023676954 in Mishawaka, Indiana

Provider Information

NPI Number: 1023676954
Entity Type: Individual
Name: Carolyn Logue, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BS
Enumeration Date: Jun 5, 2019
Last Updated: Jun 5, 2019

Practice Location

Address: 1411 LINCOLNWAY W
City: Mishawaka
State: Indiana
ZIP Code: 46544-1626
Phone: (574) 533-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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