Individual
LOGAN MICHAEL HARTSOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 LINCOLN ST, BECKLEY, WV 25801-5720
(304) 573-6461
(304) 573-6461
Mailing address
102 LINCOLN ST, BECKLEY, WV 25801-5720
(304) 573-6461
(304) 573-6461
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00947175
WV
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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