Lynette Logan

NPI #1164977708 in Raynham, Massachusetts

Provider Information

NPI Number: 1164977708
Entity Type: Individual
Name: Lynette Logan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 24, 2016
Last Updated: Mar 15, 2024

Practice Location

Address: 100 NEW STATE HWY
City: Raynham
State: Massachusetts
ZIP Code: 02767-5423
Phone: (781) 666-2711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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