JACQUELINE LOGAN

DECATUR, GA
NPI1710257548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: GA  LPC006564)
Enumeration Date2012-01-10
Last Update Date2018-03-30
Business Address
MS. JACQUELINE LOGAN LPC
108 E PONCE DE LEON AVE STE 204
DECATUR, GA 30030-2512
Phone number: 404-382-8788
Mailing Address
MS. JACQUELINE LOGAN LPC
PO BOX 373119
DECATUR, GA 30037-3119
Phone number:
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