Logan Hagerman
NPI #1144747858 in Rock Island, Illinois
Provider Information
- NPI Number
- 1144747858
- Entity Type
- Individual
- Name
- Logan Hagerman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Aug 23, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2701 17TH ST
- City
- Rock Island
- State
- Illinois
- ZIP Code
- 61254
- Phone
- (309) 779-2031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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