DEBRA LEE LOGAN

CHEYENNE, WY
NPI1134126816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  1690)
Enumeration Date2005-07-07
Last Update Date2025-10-16
Business Address
DEBRA LEE LOGAN LCSW
520 E 18TH ST
CHEYENNE, WY 82001-4618
Phone number: 928-202-9054
Mailing Address
DEBRA LEE LOGAN LCSW
PO BOX 3635
COTTONWOOD, AZ 86326-2561
Phone number: 928-202-9054