# LOGAN STEPHANIE ROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124850342
- **Gender:** F
- **Credential:** MSW, LMSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 32104 | MD | Yes |
| 104100000X | Social Worker | SW140754 | PA | — |

## Other

- **Enumeration date:** 08/16/2024
- **Last updated:** 08/16/2024
