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1699165373
TIFFANY L LOGAN
PENNSAUKEN, NJ
NPI
1699165373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC055532300)
Enumeration Date
2015-02-02
Last Update Date
2022-06-15
Business Address
TIFFANY L LOGAN MSW, LCSW
3714 TERRACE AVE
PENNSAUKEN, NJ 08110-6440
Phone number: 856-287-3807
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Mailing Address
TIFFANY L LOGAN MSW, LCSW
3714 TERRACE AVE
PENNSAUKEN, NJ 08110-6440
Phone number: 856-840-5501
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