STEPHANIE LOGAN

ALTON, IL
NPI1952704066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-10-02
Last Update Date2014-10-02
Business Address
-- STEPHANIE LOGAN
1734 MAIN ST
ALTON, IL 62002-4709
Phone number: 618-465-8623
Mailing Address
-- STEPHANIE LOGAN
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
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