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1598430589
SAMANTHA LOGAN
WYNNEWOOD, PA
NPI
1598430589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: PA PS019072)
Enumeration Date
2021-08-11
Last Update Date
2021-08-11
Business Address
Dr. SAMANTHA LOGAN PsyD
612 FARISTON DR
WYNNEWOOD, PA 19096-2507
Phone number: 609-432-0672
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Mailing Address
Dr. SAMANTHA LOGAN PsyD
612 FARISTON DR
WYNNEWOOD, PA 19096-2507
Phone number: 609-432-0672
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