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1417436411
MARCELLA SUZANNE LOGAN
LACEY, WA
NPI
1417436411
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Former Name
MARCELLA LOGAN THORNBURGH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WA LW60728277)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
MARCELLA SUZANNE LOGAN MSW, LICSW
4313 6TH AVE SE STE C
LACEY, WA 98503-1072
Phone number: 360-791-1234
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Mailing Address
MARCELLA SUZANNE LOGAN MSW, LICSW
PO BOX 2639
OLYMPIA, WA 98507-2639
Phone number: 360-791-1234
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