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1275104499
STEPHANIE LOGAN
MC LEAN, VA
NPI
1275104499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904012509)
Enumeration Date
2021-07-08
Last Update Date
2021-07-08
Business Address
STEPHANIE LOGAN LCSW
1360 BEVERLY RD STE 200
MC LEAN, VA 22101-3647
Phone number: 703-831-8300
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Mailing Address
STEPHANIE LOGAN LCSW
1360 BEVERLY RD STE 200
MC LEAN, VA 22101-3647
Phone number: 703-831-8300
Copy
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