JESSICA LOGAN

SHREVEPORT, LA
NPI1528514015
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2016-08-25
Last Update Date2018-05-21
Business Address
JESSICA LOGAN
1513 LINE AVE STE 315
SHREVEPORT, LA 71101
Phone number: 318-221-2828
Mailing Address
JESSICA LOGAN
1513 LINE AVE STE 315
SHREVEPORT, LA 71101-4621
Phone number: 318-221-2828
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