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1710257548
JACQUELINE LOGAN
DECATUR, GA
NPI
1710257548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC006564)
Enumeration Date
2012-01-10
Last Update Date
2018-03-30
Business Address
Ms. JACQUELINE LOGAN LPC
108 E PONCE DE LEON AVE STE 204
DECATUR, GA 30030-2512
Phone number: 404-382-8788
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Mailing Address
Ms. JACQUELINE LOGAN LPC
PO BOX 373119
DECATUR, GA 30037-3119
Phone number:
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