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Individual

JESSICA LOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2479 PEACHTREE RD NE APT 308, ATLANTA, GA 30305-4129
(404) 308-0191
Mailing address
2479 PEACHTREE RD NE APT 308, ATLANTA, GA 30305-4129
(404) 308-0191

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/25/2021
Last updated
08/25/2021
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Product
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