Stephen Logue
NPI #1902264401 in West Frankfort, Illinois
Provider Information
- NPI Number
- 1902264401
- Entity Type
- Individual
- Name
- Stephen Logue
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jan 29, 2016
- Last Updated
- Jan 29, 2016
Practice Location
- Address
- 902 W MAIN ST
- City
- West Frankfort
- State
- Illinois
- ZIP Code
- 62896-2210
- Phone
- (618) 937-6483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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