KATHERINE CAROL LOGEAIS HISSAM

SAINT CLOUD, MN
NPI1033742119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  22416)
Enumeration Date2020-02-18
Last Update Date2020-02-18
Business Address
KATHERINE CAROL LOGEAIS HISSAM LICSW
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
Mailing Address
KATHERINE CAROL LOGEAIS HISSAM LICSW
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670