| NPI | 1164977708 |
|---|---|
| Professional Name | LYNETTE D LOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 228608) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 99074547A) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2024-03-15 |