NIKITA LOGAN

LAFAYETTE, LA
NPI1124484274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  10035)
Enumeration Date2016-01-05
Last Update Date2016-01-05
Business Address
-- NIKITA LOGAN
620 E ALEXANDER ST
LAFAYETTE, LA 70501-2304
Phone number: 832-687-2771
Mailing Address
-- NIKITA LOGAN
PO BOX 62498
LAFAYETTE, LA 70596-2498
Phone number: 832-687-2771
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