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1881426377
LOGAN BENNETT
AUSTIN, TX
NPI
1881426377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 106416)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
LOGAN BENNETT LCSW, LCDC
205 E MONROE ST
AUSTIN, TX 78704-2424
Phone number: 512-791-3778
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Mailing Address
LOGAN BENNETT LCSW, LCDC
9604 PRESCOTT DR
AUSTIN, TX 78749-5203
Phone number: 512-791-3778
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