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Organization
MEGAN D LOGAN LCSW PA
Active
Organization
MEGAN D LOGAN LCSW PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN LOGAN LCSW (PRESIDENT)
(904) 553-8398
Entity
Organization
Contact information
Practice address
2309 PARK ST, JACKSONVILLE, FL 32204-4317
(904) 553-8398
Mailing address
248 SOUTHLAKE DR, ST AUGUSTINE, FL 32092-1042
(904) 553-8398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 8347
FL
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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