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1194113852
RACHEL LOGAN
FAIRVIEW HEIGHTS, IL
NPI
1194113852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.017224)
Enumeration Date
2015-01-05
Last Update Date
2020-08-13
Business Address
RACHEL LOGAN LCSW
10850 LINCOLN TRAIL SUITE 16 #3
FAIRVIEW HEIGHTS, IL 62208
Phone number: 618-310-0422
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Mailing Address
RACHEL LOGAN LCSW
4020 GREEN MOUNT CROSSING DR STE 407
SHILOH, IL 62269-7287
Phone number: 618-310-0422
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