Jessica Logan, LCSW

NPI #1356628689 in Waianae, Hawaii

Provider Information

NPI Number
1356628689
Entity Type
Individual
Name
Jessica Logan, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Nov 15, 2011
Last Updated
Apr 28, 2014

Practice Location

Address
89-195 FARRINGTON HWY
State
Hawaii
ZIP Code
96792-4102
Phone
(808) 696-7657

Specialties & Taxonomy Codes

Specialty
Social Worker
Social Worker - ClinicalClinical

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