LISA LOGAN

PATTON, CA
NPI1568732444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  23593)
Additional Taxonomies1041C0700X Social Worker Clinical
Enumeration Date2012-01-09
Last Update Date2023-02-14
Business Address
LISA LOGAN LCSW
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
PATTON, CA 92369
Phone number: 909-425-7000
Mailing Address
LISA LOGAN LCSW
PO BOX 3361
SAN DIMAS, CA 91773-7361
Phone number: