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1427509207
LOGAN FARRELLY
JACKSONVILLE, FL
NPI
1427509207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW12901)
Enumeration Date
2016-10-17
Last Update Date
2023-11-09
Business Address
LOGAN FARRELLY LCSW
3015 PARENTAL HOME RD
JACKSONVILLE, FL 32216-5768
Phone number: 904-725-6662
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Mailing Address
LOGAN FARRELLY LCSW
3015 PARENTAL HOME RD
JACKSONVILLE, FL 32216-5704
Phone number: 904-725-6662
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