ALICIA JEAN LOGAN

SAINT LOUIS, MO
NPI1801412846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2019044976)
Enumeration Date2020-06-24
Last Update Date2020-06-24
Business Address
ALICIA JEAN LOGAN PLPC
2650 OLIVE ST
SAINT LOUIS, MO 63103-1489
Phone number: 314-644-6023
Mailing Address
ALICIA JEAN LOGAN PLPC
38 HEATHER DR
SAINT PETERS, MO 63376-2507
Phone number: 636-233-1698
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