JACLYN LOGA

CHEEKTOWAGA, NY
NPI1215146964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
-- JACLYN LOGA BA, CASAC
1526 WALDEN AVE
CHEEKTOWAGA, NY 14225-4965
Phone number: 716-895-7167
Mailing Address
-- JACLYN LOGA BA, CASAC
1526 WALDEN AVE
CHEEKTOWAGA, NY 14225-4965
Phone number: 716-895-7167
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