LAURIE LOGAN

ST. LOUIS, MO
NPI1508161076
Former NameLAURIE KENNEDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  3946)
Enumeration Date2011-01-14
Last Update Date2011-01-19
Business Address
-- LAURIE LOGAN LCSW
12647 OLIVE BOULEVARD SUITE 600
ST. LOUIS, MO 63141
Phone number: 800-325-3982
Mailing Address
-- LAURIE LOGAN LCSW
12647 OLIVE BLVD
SAINT LOUIS, MO 63141-6393
Phone number: 907-687-3202
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