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Individual
HEATH AVERY LOGUE
Active
Individual
HEATH AVERY LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
1041C0700X
Clinical Social Worker
Primary
LCSW00001729
KY
171M00000X
Case Manager/Care Coordinator
—
NULL
Other
Enumeration date
04/10/2023
Last updated
09/21/2026
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