MS. Lois Johnson Logan, LCSW

NPI #1124298195 in Central Islip, New York

Provider Information

NPI Number
1124298195
Entity Type
Individual
Name
MS. Lois Johnson Logan, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 6, 2008
Last Updated
Mar 6, 2008

Practice Location

Address
6 FAIRLAWN DR
ZIP Code
11722-4664
Phone
(631) 348-7945

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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