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Individual
MR. LOGAN ROBERT COOK
Active
Individual
MR. LOGAN ROBERT COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LAC, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1277
MT
1041C0700X
Clinical Social Worker
Primary
966
MT
Other
Enumeration date
10/31/2008
Last updated
06/12/2018
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