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Individual
MRS. LOGAN ELLINGTON-HARRISON
Active
Individual
MRS. LOGAN ELLINGTON-HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005852
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010105366
—
VA
05
—
010105439
—
VA
05
—
0101079519
—
VA
Enumeration date
10/02/2006
Last updated
02/05/2024
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