JESSICA LOGAN

WAIANAE, HI
NPI1356628689
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: HI  3903)
Additional Taxonomies104100000X Social Worker
(Licence: HI  1950)
Enumeration Date2011-11-15
Last Update Date2014-04-28
Business Address
-- JESSICA LOGAN LCSW
89-195 FARRINGTON HWY
WAIANAE, HI 96792-4102
Phone number: 808-696-7657
Mailing Address
-- JESSICA LOGAN LCSW
1019A 8TH AVE
HONOLULU, HI 96816-2490
Phone number: