Rachel Logan, LCSW

NPI #1194113852 in Fairview Heights, Illinois

Provider Information

NPI Number: 1194113852
Entity Type: Individual
Name: Rachel Logan, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 5, 2015
Last Updated: Aug 13, 2020

Practice Location

Address: 10850 LINCOLN TRAIL
Address 2: SUITE 16 #3
City: Fairview Heights
State: Illinois
ZIP Code: 62208
Phone: (618) 310-0422

Specialties & Taxonomy Codes

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

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