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Organization
LOGAN AND LYNN, LTD.
Active
Organization
LOGAN AND LYNN, LTD.
Active
Other names
Denise Rae Mullins
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE RAE MULLINS LCSW CSAC (OWNER)
(757) 483-3834
Entity
Organization
Contact information
Practice address
5705 LEE FARM LN, SUITE D, SUFFOLK, VA 23435-1772
(757) 483-3834
(757) 483-8938
Mailing address
5705 LEE FARM LN, SUITE D, SUFFOLK, VA 23435-1772
(757) 483-3834
(757) 483-8938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710000608
VA
1041C0700X
Clinical Social Worker
Primary
0904001609
VA
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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