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1548707573
JADE LOGAN
PHILADELPHIA, PA
NPI
1548707573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS017234)
Enumeration Date
2017-01-29
Last Update Date
2017-02-09
Business Address
Dr. JADE LOGAN Ph.D., ABPP
255 S 17TH ST SUITE 2704
PHILADELPHIA, PA 19103-6231
Phone number: 267-908-6363
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Mailing Address
Dr. JADE LOGAN Ph.D., ABPP
8532 TEMPLE RD
PHILADELPHIA, PA 19150-1909
Phone number: 856-524-8580
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