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1780266858
LOGAN JACKSON HEINIG
NEW HAVEN, CT
NPI
1780266858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 011243)
Enumeration Date
2021-04-27
Last Update Date
2021-04-27
Business Address
LOGAN JACKSON HEINIG LCSW
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4561
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Mailing Address
LOGAN JACKSON HEINIG LCSW
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4561
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