MICHELLE MARIE LOGAN

OWEGO, NY
NPI1487753869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  19014)
Enumeration Date2006-09-21
Last Update Date2007-07-08
Business Address
-- MICHELLE MARIE LOGAN CASAC
1062 STATE ROUTE 38
OWEGO, NY 13827
Phone number: 607-687-4000
Mailing Address
-- MICHELLE MARIE LOGAN CASAC
8 N. CHEMUNG ST.
WAVERLY, NY 14892
Phone number: