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Individual

MRS. MELANIE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1278 W US HIGHWAY 40, ODESSA, MO 64076-9612
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018007932
MO

Other

Enumeration date
09/16/2015
Last updated
05/11/2018
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