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Individual
JENNIFER ROSE LOGAN
Active
Individual
JENNIFER ROSE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109078
IL
1041C0700X
Clinical Social Worker
Primary
149.030298
IL
Other
Enumeration date
10/03/2023
Last updated
01/30/2026
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