Individual
MS. CARITA LYNAE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 922-7645
(816) 922-7684
Mailing address
2109 N 66TH TER, KANSAS CITY, KS 66104-2670
(913) 488-3813
(816) 922-7684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000621
MO
Other
Enumeration date
11/01/2006
Last updated
07/09/2007
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