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1326192014
JAY F LOGAN
OTTAWA, KS
NPI
1326192014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS LSCSW 2285)
Enumeration Date
2007-01-22
Last Update Date
2011-04-28
Business Address
-- JAY F LOGAN LSCSW
2537 EISENHOWER RD
OTTAWA, KS 66067-9482
Phone number: 785-242-3780
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Mailing Address
-- JAY F LOGAN LSCSW
PO BOX 677
OTTAWA, KS 66067-0677
Phone number: 785-242-3780
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