Katherine Carol Logeais Hissam, LICSW
NPI #1033742119 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1033742119
- Entity Type
- Individual
- Name
- Katherine Carol Logeais Hissam, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Feb 18, 2020
- Last Updated
- Feb 18, 2020
Practice Location
- Address
- 4801 VETERANS DR
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56303-2015
- Phone
- (320) 252-1670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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