DEBRA LEE LOGAN

CHEYENNE, WY
NPI1134126816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  10464)
Enumeration Date2005-07-07
Last Update Date2025-04-21
Business Address
DEBRA LEE LOGAN LCSW
214 CASCADE AVE
CHEYENNE, WY 82009-4026
Phone number: 928-202-9054
Mailing Address
DEBRA LEE LOGAN LCSW
PO BOX 3635
COTTONWOOD, AZ 86326-2561
Phone number: 928-202-9054
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