LEAH LOGAN

BOISE, ID
NPI1194148635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  lcsw-36482)
Enumeration Date2014-02-03
Last Update Date2023-06-13
Business Address
LEAH LOGAN
223 N 6TH ST STE 405
BOISE, ID 83702-6082
Phone number: 208-704-2166
Mailing Address
LEAH LOGAN
5917 W ROBERTSON DR
BOISE, ID 83709-2166
Phone number:
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