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1801412846
ALICIA JEAN LOGAN
SAINT LOUIS, MO
NPI
1801412846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MO 2019044976)
Enumeration Date
2020-06-24
Last Update Date
2020-06-24
Business Address
ALICIA JEAN LOGAN PLPC
2650 OLIVE ST
SAINT LOUIS, MO 63103-1489
Phone number: 314-644-6023
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Mailing Address
ALICIA JEAN LOGAN PLPC
38 HEATHER DR
SAINT PETERS, MO 63376-2507
Phone number: 636-233-1698
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